Individual
MS. GWENDOLYN BALL FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, MPH, RN
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3402
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3402
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
055681
NC
363LF0000X
Family Nurse Practitioner
Primary
14626
TN
Other
Enumeration date
07/23/2007
Last updated
05/14/2012
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