Provider Demographics
NPI:1821563917
Name:FISHER, CHRISTINA ANN (DNP)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ANN
Last Name:FISHER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 W. IRONWOOD DR, SUITE 102
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814
Mailing Address - Country:US
Mailing Address - Phone:208-966-9376
Mailing Address - Fax:208-665-5756
Practice Address - Street 1:850 W. IRONWOOD DR, SUITE 102
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814
Practice Address - Country:US
Practice Address - Phone:208-966-9376
Practice Address - Fax:208-665-5756
Is Sole Proprietor?:No
Enumeration Date:2018-10-04
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID59588363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily