Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 252 09 0016821` | WA |
N | 208000000X | Pediatrician | 252 9 0016821 | WA |
NPI | 1871689273 |
---|---|
Provider Name | Dr. Nancy Louise Fisher |
First Address | Mercer Island, WA 98040-1719 |
Second Address | Olympia, WA 98504-2701 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1054576 | (05) | WA |