Provider Demographics
NPI:1386019065
Name:FISHER, BARBARA A
Entity Type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:A
Last Name:FISHER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:BARBARA
Other - Middle Name:A
Other - Last Name:DAWUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1 SNUG HARBOR AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:NJ
Mailing Address - Zip Code:07732-1413
Mailing Address - Country:US
Mailing Address - Phone:413-522-6006
Mailing Address - Fax:
Practice Address - Street 1:1 SNUG HARBOR AVE
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07732-1413
Practice Address - Country:US
Practice Address - Phone:413-522-6006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-07
Last Update Date:2015-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO07709400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse