Healthcare Provider Details

I. General information

NPI: 1457879280
Provider Name (Legal Business Name): MARGARET FISHER AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2017
Last Update Date: 08/31/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 E 19TH AVE
DENVER CO
80218-1235
US

IV. Provider business mailing address

1719 E 19TH AVE
DENVER CO
80218-1235
US

V. Phone/Fax

Practice location:
  • Phone: 720-754-7495
  • Fax:
Mailing address:
  • Phone: 619-865-4441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License NumberAPN.0992733-CNS
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: