Individual
TRACI R FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
245 CHESAPEAKE AVE, NEWPORT NEWS, VA 23607-6038
(757) 534-9770
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024174669
VA
363LA2100X
Acute Care Nurse Practitioner
SP008121
PA
Other
Enumeration date
05/22/2006
Last updated
05/15/2017
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