Individual
MARYBETH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
167 MAIN ST, SOUTHINGTON, CT 06489-2505
(860) 426-0252
Mailing address
167 MAIN ST, SOUTHINGTON, CT 06489-2505
(860) 426-0252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11992
CT
Other
Enumeration date
06/13/2023
Last updated
06/13/2023
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