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NPI Code Detail

MEDICARE: MITCHELL DAVID FISHER NP-C

MEDICARE: MITCHELL DAVID FISHER NP-C
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 Practitioner5011101NC

General Provider Information

NPI Number : 1376018630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MITCHELL DAVID FISHER NP-C
Provider Business Mailing Address
First Line : 7496 ROCKFISH RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28306-8076
Country : US
Telephone Number : 866-389-2727
Fax Number : 401-216-4213
Provider Business Practice Location Address
First Line : 7496 ROCKFISH RD
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28306-8076
Country : US
Telephone Number : 866-389-2727
Fax Number : 401-216-4213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2018
Last Update Date : 10/12/2018

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