Healthcare Provider Details

I. General information

NPI: 1093689176
Provider Name (Legal Business Name): WILLIAM FISHER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13041 N DEL WEBB BLVD STE 200
SUN CITY AZ
85351-3034
US

IV. Provider business mailing address

13041 N DEL WEBB BLVD STE 200
SUN CITY AZ
85351-3034
US

V. Phone/Fax

Practice location:
  • Phone: 480-256-6444
  • Fax: 480-256-6444
Mailing address:
  • Phone: 480-256-6444
  • Fax: 480-256-6444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN210455
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: