Individual
DIANNE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2205 W 36TH AVE, KANSAS CITY, KS 66103-2107
(913) 956-5620
Mailing address
5710 ASH DR, ROELAND PARK, KS 66205-2858
(913) 384-0022
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
99760
KS
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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