Individual
ELEANOR D FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
604 STONE AVE, TALLADEGA, AL 35160-2217
(256) 362-8111
(256) 761-4203
Mailing address
PO BOX 660685, BIRMINGHAM, AL 35266-0685
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-033266
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051532039
—
AL
01
—
51532039
BCBS #
AL
Enumeration date
08/15/2006
Last updated
07/09/2007
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