Individual
PELLA S. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 884-4638
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 884-4638
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
042442
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0074526
—
IA
Enumeration date
02/12/2007
Last updated
02/04/2008
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