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Individual

ELEANOR ANNE FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
R093229
MD
367A00000X
Advanced Practice Midwife
Primary
RN54929
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10744352
CAQH
01
R093229
STATE LICENSE
MD
01
RN54929
DC LICENSE
DC
Enumeration date
10/05/2006
Last updated
09/01/2021
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