Provider Demographics
NPI:1518637784
Name:FISHER, MARIA ESTELLA (FNP)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ESTELLA
Last Name:FISHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12144 VICTORIA HILLS RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23146-1553
Mailing Address - Country:US
Mailing Address - Phone:804-314-1443
Mailing Address - Fax:
Practice Address - Street 1:12144 VICTORIA HILLS RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:VA
Practice Address - Zip Code:23146-1553
Practice Address - Country:US
Practice Address - Phone:804-314-1443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024055965363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily