Individual
NICOLE ELAINE FISHBOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-8111
Mailing address
PO BOX 751274, CHARLOTTE, NC 28275-1274
(919) 620-4491
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
179038
NC
Other
Enumeration date
08/02/2013
Last updated
12/27/2023
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