Individual
DEBORAH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-6315
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-0001
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
VA0024106625
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VA0024106625
NURSE PRACTITIONER-PED
VA
Enumeration date
11/01/2006
Last updated
07/08/2007
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