Individual provider · Type 1 NPI
William Shane Fisher
Adult Care Home Facility · Flagstaff, AZ
NPI number
1295138568
Active
Practice location
PO Box 30354
Flagstaff, AZ 86003-0354
Other practice locations
- 6005 E Abineau Canyon Dr, Flagstaff, AZ 86004-7168 · (928) 635-6750
- 7885 Easy St, Flagstaff, AZ 86004-3268 · (928) 522-8622
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AL8133H (AZ) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1295138568
William Shane Fisher's National Provider Identifier is 1295138568, issued on Oct 1, 2014. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Flagstaff, AZ. The record was last updated on Mar 17, 2026.