Healthcare Provider Details

I. General information

NPI: 1699020578
Provider Name (Legal Business Name): KAREN A HILL-FISHER MS, RD, CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2012
Last Update Date: 09/18/2020
Certification Date: 09/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3732 LAKESIDE DR SUITE 200
RENO NV
89509
US

IV. Provider business mailing address

3732 LAKESIDE DR SUITE 200
RENO NV
89509
US

V. Phone/Fax

Practice location:
  • Phone: 775-360-6500
  • Fax: 775-996-4328
Mailing address:
  • Phone: 775-360-6500
  • Fax: 775-996-4328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number712203
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: