Fisher, Kristina

Fisher, Kristina is an individual health care provider with primary practice located at 3095 Kettering Blvd , Moraine OH 45439-1983. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent, which is considered as her primary health care specialty. Fisher, Kristina can be contacted via phone (937) 293-8300.

Contact Information

Primary practice address
3095 Kettering Blvd Moraine OH 45439-1983
Phone: (937) 293-8300
Fax: (937) 534-1579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X 348586 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Adolescent 364SP0807X APRN.CNS.15040 Ohio

Profile Details

NPI number 1265777460
LBN Legal business name Fisher, Kristina
Credentials MSN,CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2012
Last updated Apr 19th, 2021 - about 3 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 1265777460 NPPES
Ohio MEDICAID 0092420

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