Individual
CARISSA ANN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8303 DODGE STREET, OMAHA, NE 68114
(402) 354-4000
Mailing address
7822 DAVENPORT STREET, OMAHA, NE 68114-3629
(402) 391-4855
(402) 391-6818
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60684
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
108117
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60684
NE RN LICENSE
NE
Enumeration date
08/09/2010
Last updated
12/12/2011
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