Healthcare Provider Details

I. General information

NPI: 1942085469
Provider Name (Legal Business Name): LINDSEY FISHER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSEY KITE

II. Dates (important events)

Enumeration Date: 08/31/2023
Last Update Date: 08/31/2023
Certification Date: 08/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7125 E MONTEREY AVE
MESA AZ
85209-7230
US

IV. Provider business mailing address

7125 E MONTEREY AVE
MESA AZ
85209-7230
US

V. Phone/Fax

Practice location:
  • Phone: 480-641-6413
  • Fax: 480-854-8871
Mailing address:
  • Phone: 480-641-6413
  • Fax: 480-854-8871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number289724
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: