Individual
CARRIE R FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5733 E 135TH PL N, COLLINSVILLE, OK 74021-3652
(918) 549-1462
Mailing address
5733 E 135TH PL N, COLLINSVILLE, OK 74021-3652
(918) 549-1462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
86472
OK
Other
Enumeration date
01/10/2017
Last updated
01/10/2017
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