Fisher, Myka Dawn
Fisher, Myka Dawn is an individual health care provider with primary practice located at 2930 11Th Ave , Evans CO 80620-1011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fisher, Myka Dawn can be contacted via phone (970) 353-9403.Contact Information
Primary practice address
2930 11Th Ave
Evans CO 80620-1011
Phone: (970) 353-9403
Fax: (970) 353-9906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP 10043 | Colorado |
Profile Details
| NPI number | 1154558302 |
|---|---|
| LBN Legal business name | Fisher, Myka Dawn |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2009 |
| Last updated | Jun 6th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154558302 | NPPES |
| Colorado | MEDICAID | 07654898 |
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