Individual provider · Type 1 NPI

Pangaa Fisher, FNP

Family Nurse Practitioner · St. Louis, MO

NPI number 1336690288 Active

Practice location

615 S New Ballas Rd
St. Louis, MO 63141-8221

Fax (314) 251-4564

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XR0120309 (OK)
Family Nurse Practitioner Primary 363LF0000X2019015720 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1336690288

Pangaa Fisher, FNP's National Provider Identifier is 1336690288, issued on Oct 16, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on May 21, 2025.