Healthcare Provider Details

I. General information

NPI: 1306976311
Provider Name (Legal Business Name): VICKEY SUE FISHER MSN, APN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3902 E GRANT RD
TUCSON AZ
85712-2558
US

IV. Provider business mailing address

5055 E BROADWAY BLVD
TUCSON AZ
85711-3640
US

V. Phone/Fax

Practice location:
  • Phone: 888-405-6396
  • Fax: 415-252-7176
Mailing address:
  • Phone: 520-382-1205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP3354
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: