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Individual

MS. CYNTHIA M. FISTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
131 STONECREST RD, SUITE 100, SHELBYVILLE, KY 40065-9191
(502) 633-7093
(502) 633-7094
Mailing address
315 E BROADWAY, LOUISVILLE, KY 40202-1703
(502) 629-2500
(502) 629-3166

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2762P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50013809
PASSPORT
KY
05
78007382
KY
01
P00384338
RAILROAD MEDICARE
KY
Enumeration date
05/23/2006
Last updated
05/16/2016
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