Individual
MELISSA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
8015 APPLE VALLEY DR, PASADENA, MD 21122-4174
(410) 255-0102
(410) 255-0103
Mailing address
8015 APPLE VALLEY DR, PASADENA, MD 21122-4174
(410) 255-0102
(410) 255-0103
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R154370
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208799
JHHC PROVIDER NUMBER
MD
05
—
410221500
—
MD
01
—
7605-0082
CAREFIRST BLUECHOICE
MD
01
—
8441180
AETNA HMO
MD
01
—
888342-01
CAREFIRST MD RENDERING
MD
01
—
9649199
AETNA PPO
MD
01
—
P00338934
RR MEDICARE
MD
Enumeration date
04/14/2006
Last updated
10/15/2020
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