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NPI Code Detail

MEDICARE: MISS SHARI J FISHER FNP

MEDICARE: MISS SHARI J FISHER FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner14421CA
2363LF0000XFamily Nurse Practitioner3557SC
3363LF0000XFamily Nurse PractitionerTMP140213KS

General Provider Information

NPI Number : 1003880568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SHARI J FISHER FNP
Provider Business Mailing Address
First Line : 11900 W 135TH ST
Second Line : CVS/ MINUTE CLINIC
City : OVERLAND PARK
State : KS
Zip : 66221-9400
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 11900 W 135TH ST
Second Line : CVS/ MINUTE CLINIC
City : OVERLAND PARK
State : KS
Zip : 66221-9400
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2006
Last Update Date : 01/19/2010

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