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NPI Code Detail

MEDICARE: MS. MELISSA ANNE FISHER RN, MSN, PMHNP, FNP

MEDICARE: MS. MELISSA ANNE FISHER RN, MSN, PMHNP, FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner18894CA
2363LF0000XFamily Nurse Practitioner164853CO
3363LP0808XPsychiatric/Mental Health Nurse Practitioner18894CA

General Provider Information

NPI Number : 1316108616
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA ANNE FISHER RN, MSN, PMHNP, FNP
Provider Business Mailing Address
First Line : 2365 IRON POINT RD STE 210
Second Line :
City : FOLSOM
State : CA
Zip : 95630-8713
Country : US
Telephone Number : 279-258-6718
Fax Number : 916-596-2135
Provider Business Practice Location Address
First Line : 2365 IRON POINT RD STE 210
Second Line :
City : FOLSOM
State : CA
Zip : 95630-8713
Country : US
Telephone Number : 925-282-1778
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2008
Last Update Date : 01/15/2025

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