Individual
KRISTINE DIANE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1647 SW 14TH ST, LINCOLN, NE 68522-2519
(402) 436-1129
Mailing address
1647 SW 14TH ST, LINCOLN, NE 68522-2519
(402) 536-1129
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NE
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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