Individual
MRS. REBECCA CARTER FISHER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
HWY 8 EAST, CLEVELAND, MS 38732
(662) 846-2544
Mailing address
1484 N BAYOU RD, CLEVELAND, MS 38732
(662) 843-4923
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R609366
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110030
—
MS
Enumeration date
04/12/2006
Last updated
07/08/2007
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