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NPI Code Detail

MEDICARE: FELICIA S. FISHER

MEDICARE:   FELICIA S. FISHER
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
1246ZE0600XElectroneurodiagnostic Specialist/Technologist

General Provider Information

NPI Number : 1205783446
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICIA S. FISHER
Provider Business Mailing Address
First Line : 101 ARBORETUM WAY APT 145
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23602-9069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 J CLYDE MORRIS BLVD
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23601-1929
Country : US
Telephone Number : 757-594-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ FELICIA S. FISHER ” Practice Location

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