Individual
MICHAEL S. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2299
Mailing address
600 E MAIN ST, ELMA, WA 98541-9560
(360) 346-2299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
660424
TX
367500000X
Certified Registered Nurse Anesthetist
3999
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60799712
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2102
—
SC
01
—
AP60799712
STATE LICENSE
WA
Enumeration date
11/18/2008
Last updated
01/25/2024
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