Individual
AMY MARIE FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 523-3160
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2483
(574) 523-3160
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704434690
MI
363LA2100X
Acute Care Nurse Practitioner
71009046A
IN
363LF0000X
Family Nurse Practitioner
Primary
71009046A
IN
Other
Enumeration date
06/21/2019
Last updated
01/07/2026
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