MEDICARE: MS. KRISTINA FISHER LVN, ATP

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
1	164X00000X	Licensed Vocational Nurse	227053	TX

General Provider Information

NPI Number	:	1427488659
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KRISTINA FISHER LVN, ATP

Provider Business Mailing Address
First Line	:	1305 E NOLANA AVE STE H
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-6115
Country	:	US
Telephone Number	:	956-618-4900
Fax Number	:	956-994-8634

Provider Business Practice Location Address
First Line	:	1305 E NOLANA AVE STE H
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78504-6115
Country	:	US
Telephone Number	:	956-618-4900
Fax Number	:	956-994-8634

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2013
Last Update Date	:	11/25/2013

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