Individual
NICOLE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
300 S 6TH ST, WILLIAMS, AZ 86046-0110
(928) 635-4441
Mailing address
300 S 6TH ST, WILLIAMS, AZ 86046-0110
(928) 713-0007
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H007530
AZ
225700000X
Massage Therapist
Primary
MT-20634
AZ
Other
Enumeration date
06/27/2017
Last updated
05/06/2026
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