Fisher, Vanessa Rene

Fisher, Vanessa Rene is an individual health care provider with primary practice located at 1255 W Rio Salado Pkwy Ste 107 , Tempe AZ 85281-2892. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Fisher, Vanessa Rene can be contacted via phone (480) 962-0071.

Contact Information

Primary practice address
1255 W Rio Salado Pkwy Ste 107 Tempe AZ 85281-2892
Phone: (480) 962-0071
Fax: (480) 962-0590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1674 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1674 Tennessee

Profile Details

NPI number 1184876492
LBN Legal business name Fisher, Vanessa Rene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2008
Last updated Sep 17th, 2021 - about 4 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 1184876492 NPPES
Tennessee Other 4214995 BCBS
Tennessee Other 4214994 BCBS

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