Provider Demographics
NPI:1376650804
Name:FISHER, AMY C (APNP)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:C
Last Name:FISHER
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Gender:F
Credentials:APNP
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Mailing Address - Street 1:W129N7055 NORTHFIELD DR
Mailing Address - Street 2:BUILDING A , SUITE 203
Mailing Address - City:MENOMONEE FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:53051-0538
Mailing Address - Country:US
Mailing Address - Phone:262-253-7155
Mailing Address - Fax:262-253-7140
Practice Address - Street 1:W129N7055 NORTHFIELD DR
Practice Address - Street 2:BUILDING A , SUITE 203
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-0538
Practice Address - Country:US
Practice Address - Phone:262-253-7155
Practice Address - Fax:262-253-7140
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2010-10-08
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Provider Licenses
StateLicense IDTaxonomies
WI107896-030363L00000X
WI1854-033363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner