Provider Demographics
NPI:1639492648
Name:FISHER, OLIVIA (CNIM)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:FISHER
Suffix:
Gender:F
Credentials:CNIM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6400 W 95TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1432
Mailing Address - Country:US
Mailing Address - Phone:816-777-7402
Mailing Address - Fax:816-326-0196
Practice Address - Street 1:6400 W 95TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1432
Practice Address - Country:US
Practice Address - Phone:816-777-7402
Practice Address - Fax:816-326-0196
Is Sole Proprietor?:No
Enumeration Date:2010-03-04
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic