Individual provider · Type 1 NPI

Amy Fisher, PA-C

Medical Physician Assistant · Providence, UT

NPI number 1164176772 Active

Practice location

286 N Gateway Dr Ste 201
Providence, UT 84332-5603

Mailing address

779 W 4800 S
Preston, ID 83263-5664

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

2 other providers at this address

About NPI 1164176772

Amy Fisher, PA-C's National Provider Identifier is 1164176772, issued on Feb 11, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Providence, UT. The record was last updated on Feb 11, 2022.