Provider Demographics
NPI:1134885031
Name:FISHER, LUCIA CLAUDIA (FNP)
Entity type:Individual
Prefix:MRS
First Name:LUCIA
Middle Name:CLAUDIA
Last Name:FISHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:LUCIA
Other - Middle Name:CLAUDIA
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1030 N ZARAGOZA RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-1863
Mailing Address - Country:US
Mailing Address - Phone:915-881-4155
Mailing Address - Fax:
Practice Address - Street 1:1030 N ZARAGOZA RD
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-1863
Practice Address - Country:US
Practice Address - Phone:915-881-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-15
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1058732363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily