Individual
MRS. BETHANY S FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
13200 SANTA ANA RD, ATASCADERO, CA 93422-7122
(415) 555-1212
(223) 257-7380
Mailing address
13200 SANTA ANA RD, ATASCADERO, CA 93422-7122
(415) 555-1212
(223) 257-7380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
520689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11630
CA NURSE PRACTITIONER CERTIFICATE
CA
01
—
520689
BOARD OF REGISTERED NURSES LICENSE
CA
01
—
F1101057
AMERCIAN ACADEMY OF NURSE PRACTITIONER CERTIFICATE
CA
Enumeration date
07/31/2007
Last updated
05/30/2025
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