Erica Leigh Fisher, RN

Individual provider Active NPI Registered Nurse · South Shore, KY

NPI 1689151995 · NPPES record last updated Jul 20, 2018

Key facts

NPI
1689151995
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN.449902 (OH)
Practice address
40 Vine St
South Shore, KY 41175-7802
Phone
(740) 645-4181
NPI assigned
Jul 20, 2018
Sex
Female
Sole proprietor
Yes

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
RN.449902OHMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.449902 OH Yes

Addresses

Primary practice location

40 Vine St
South Shore, KY 41175-7802

Mailing address

40 Vine St
South Shore, KY 41175-7802

Other providers in South Shore, KY

All providers in South Shore, KY · Registered Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.