Individual
RENEE SARA LEISEN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12142 BUSINESS PARK BLVD N, CHAMPLIN, MN 55316-4525
(952) 977-0500
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015284
MN
363L00000X
Nurse Practitioner
Primary
9595
MN
363LF0000X
Family Nurse Practitioner
9595
MN
Other
Enumeration date
07/06/2022
Last updated
12/05/2025
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