Provider Demographics
NPI:1609931625
Name:FISHER, CATHERINE W (ARNP)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:W
Last Name:FISHER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5325 BALLARD AVE NW
Mailing Address - Street 2:STE 213
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4193
Mailing Address - Country:US
Mailing Address - Phone:206-427-9710
Mailing Address - Fax:206-783-3077
Practice Address - Street 1:5325 BALLARD AVE NW STE 213
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4193
Practice Address - Country:US
Practice Address - Phone:206-427-9710
Practice Address - Fax:206-783-3077
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005681363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAAB27445Medicare ID - Type UnspecifiedMEDICARE PROVIDER #