Individual
ANDREA LYNN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,PMHNP-BC
Contact information
Practice address
106 W WINDHORST RD, BRANDON, FL 33510-2455
(813) 373-9531
Mailing address
440 E WASHINGTON AVE, PIERSON, FL 32180-2311
(828) 200-6770
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2020142641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020142641
AMERICAN NURSES CREDENTIALING CENTER
FL
01
—
RN9379205
FLORIDA BOARD OF NURSING
FL
Enumeration date
02/06/2021
Last updated
02/06/2021
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