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:
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Health care specialties

SpecialtyCodeLicense #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 16 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 1770624652 NPPES
Iowa MEDICAID 0074526

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