Individual
KATHLEEN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2251 N SHORE DR, RHINELANDER, WI 54501-8360
(715) 361-2000
(715) 361-2178
Mailing address
N9321 N SHORE RD, SUMMIT LAKE, WI 54485-9797
(715) 923-8845
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124603
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103339622
—
MI
01
—
430036344
MEDICARE RAILROAD
—
05
—
43365500
—
WI
Enumeration date
10/03/2006
Last updated
02/21/2022
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