Individual
CHARLAINE K FISCH
Active
Individual
CHARLAINE K FISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
N16629
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A2328
BLUE CROSS OF IDAHO
ID
Enumeration date
12/03/2007
Last updated
12/03/2007
Update your record
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