Provider Demographics
NPI:1952552762
Name:FISHER, PATRICIA LEE (CFNP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEE
Last Name:FISHER
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2316 HARRISON AVE
Mailing Address - Street 2:
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95501-3217
Mailing Address - Country:US
Mailing Address - Phone:707-442-0478
Mailing Address - Fax:707-443-2527
Practice Address - Street 1:2316 HARRISON AVE
Practice Address - Street 2:
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95501-3217
Practice Address - Country:US
Practice Address - Phone:707-442-0478
Practice Address - Fax:707-443-2527
Is Sole Proprietor?:No
Enumeration Date:2008-10-10
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3565363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily