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NPI Code Detail

MEDICARE: CATHERINE MARIE FISHER CFNP

MEDICARE:   CATHERINE MARIE FISHER  CFNP
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 PractitionerAP115106TX

General Provider Information

NPI Number : 1548376551
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE MARIE FISHER CFNP
Provider Business Mailing Address
First Line : 5729 WEDGWORTH RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-2808
Country : US
Telephone Number : 817-346-8470
Fax Number :
Provider Business Practice Location Address
First Line : 5729 WEDGWORTH RD
Second Line :
City : FORT WORTH
State : TX
Zip : 76133-2808
Country : US
Telephone Number : 817-346-8470
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 09/29/2015

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