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NPI Code Detail

MEDICARE: DAWN FISHER RN

MEDICARE: DAWN FISHER RN
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
1163W00000XRegistered NurseR185454MD

General Provider Information

NPI Number : 1093099186
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN FISHER RN
Provider Business Mailing Address
First Line : 9475 LOTTSFORD RD STE 250
Second Line :
City : LARGO
State : MD
Zip : 20774-5346
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9475 LOTTSFORD RD STE 250
Second Line :
City : LARGO
State : MD
Zip : 20774-5346
Country : US
Telephone Number : 301-636-6504
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2011
Last Update Date : 10/06/2011

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