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General NPI Number Information
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NPI Number | 1477041150
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Entity Type | Individual
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Provider Name | KATIE ANN FISHER DNP, CRNP, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/27/2018
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Last Update Date | 10/27/2020
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Provider Practice Location Address
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Address Line | 575 COAL VALLEY RD STE 400
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City | JEFFERSON HILLS
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State | PA
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Zip | 15025-3726
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Country | US
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Telephone | 412-267-6500
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Fax | 412-267-6524
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Provider Business Mailing Address
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Address Line | 247 MOREWOOD AVE
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City | PITTSBURGH
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State | PA
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Zip | 15213-1861
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Country | US
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Telephone | 412-622-0290
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Fax | 412-681-7605
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP018499
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | SP018499
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License Number State | PA
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