Provider Demographics
NPI:1689926800
Name:FISHER, ASHLEY RENEE TORREY (RN,MSN,WHNP)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:RENEE TORREY
Last Name:FISHER
Suffix:
Gender:F
Credentials:RN,MSN,WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:10240 WEST INDIAN SCHOOL ROAD
Mailing Address - Street 2:140
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85037-5904
Mailing Address - Country:US
Mailing Address - Phone:623-846-7558
Mailing Address - Fax:623-846-1674
Practice Address - Street 1:10240 WEST INDIAN SCHOOL ROAD
Practice Address - Street 2:140
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85037-5904
Practice Address - Country:US
Practice Address - Phone:623-846-7558
Practice Address - Fax:623-846-1674
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP4606363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology