Fisher, Pella S.
Fisher, Pella S. is an individual health care provider with primary practice located at 1441 W Central Park Ave , Davenport IA 52804-1707. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fisher, Pella S. can be contacted via phone (563) 383-1900.Contact Information
Primary practice address
1441 W Central Park Ave
Davenport IA 52804-1707
Phone: (563) 383-1900
Fax: (563) 884-4638
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 042442 | Iowa |
Profile Details
NPI number | 1770624652 |
---|---|
LBN Legal business name | Fisher, Pella S. |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 12th, 2007 |
Last updated | Feb 4th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1770624652 | NPPES |
Iowa | MEDICAID | 0074526 |
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