Individual
MRS. ANNE MARIE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-5726
Mailing address
1519 NYE RD, LYONS, NY 14489-9133
(315) 946-5722
(315) 946-5726
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
140793-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00357502
—
NY
Enumeration date
04/01/2008
Last updated
04/01/2008
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