Most Relevant Information
Provider Data
| NPI Number: | 1003438755 |
| Provider Name: | ROBERT FISHER |
| Entity Type: | Individual |
| Taxonomy Code: | 163WG0100X |
| Specialty: | Registered Nurse |
| License Number: | 35915 |
Most Important Dates
| Enumeration Date: | 05/15/2020 |
| Last Updated: | 05/15/2020 |
Provider Practice Location
500 W FORT ST
BOISE
ID
837024501
Practice Location Phone/Fax
| Phone: | 2084221092 |
| Fax: |
Provider Mailing Location
500 W FORT ST
BOISE
ID
837024501
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |