Individual
MISS AUDREY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2198 RAINES CT, EULESS, TX 76039-4259
(817) 239-9079
Mailing address
2198 RAINES CT, EULESS, TX 76039-4259
(817) 239-9079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
588065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
588065
TEXAS BOARD OF NURSING
TX
Enumeration date
05/28/2013
Last updated
05/28/2013
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