Fisher, Myrna Clare
Fisher, Myrna Clare is an individual health care provider with primary practice located at 777 N Raymond St , Boise ID 83704-9251. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fisher, Myrna Clare can be contacted via phone (208) 514-2500.Contact Information
Primary practice address
777 N Raymond St
Boise ID 83704-9251
Phone: (208) 514-2500
Fax: (208) 375-2217
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP193A | Idaho |
Profile Details
| NPI number | 1306839741 |
|---|---|
| LBN Legal business name | Fisher, Myrna Clare |
| Credentials | APPN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Aug 1st, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306839741 | NPPES |
| Idaho | MEDICAID | 1306839741 | |
| Idaho | MEDICAID | 0043801 |
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