Anna Fisher, RN

Individual provider Active NPI Registered Nurse · Alpine, CA

NPI 1194035121 · NPPES record last updated Oct 8, 2010

Key facts

NPI
1194035121
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
641069 (CA)
Practice address
4058 Willows Rd
Alpine, CA 91901-1668
Phone
(619) 445-1188
Fax
(619) 659-3141
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
641069CAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 641069 CA Yes

Addresses

Primary practice location

4058 Willows Rd
Alpine, CA 91901-1668

Mailing address

4058 Willows Rd
Alpine, CA 91901-1668
Phone (619) 445-1188

Other providers in Alpine, CA

All providers in Alpine, CA · Registered Nurse in California

Sources for this page

Verify at the official NPI Registry.