NPI | 1093239279 |
---|---|
Former Name | HOLLY FISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 7747-33) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A167768) |
363LF0000X Nurse Practitioner, Family (Licence: IL 277.002189) | |
363LF0000X Nurse Practitioner, Family (Licence: NE 114545) | |
363LF0000X Nurse Practitioner, Family (Licence: NY 354581) | |
363LF0000X Nurse Practitioner, Family (Licence: IN TH0005221) | |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704383781) | |
363LF0000X Nurse Practitioner, Family (Licence: AZ 297799) | |
363A00000X Physician Assistant (Licence: TX 1088698) | |
363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0035247) | |
Enumeration Date | 2017-07-31 |
Last Update Date | 2024-08-20 |