Fisher, Dierdre Denise

Fisher, Dierdre Denise is an individual health care provider with primary practice located at 616 W Russell Pl , San Antonio TX 78212-3658. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fisher, Dierdre Denise can be contacted via phone (800) 257-8715.

Contact Information

Primary practice address
616 W Russell Pl San Antonio TX 78212-3658
Phone: (800) 257-8715
Fax: (800) 819-1655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 627372 Texas

Profile Details

NPI number 1235168816
LBN Legal business name Fisher, Dierdre Denise
Credentials RN, APRN, BC, CNSPMH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235168816 NPPES
Texas Other 89N424 BLUE CROSS BLUE SHIELD
Texas Other P00108424 BLUE CROSS BLUE SHIELD
Texas MEDICAID 148814002 BLUE CROSS BLUE SHIELD

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