Most Relevant Information
Provider Data
| NPI Number: | 1003473695 |
| Provider Name: | NICHOLAS COLTON FISHER FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 206510 |
Most Important Dates
| Enumeration Date: | 05/20/2019 |
| Last Updated: | 07/02/2019 |
Provider Practice Location
611 GRAMMONT ST.
MONROE
LA
712017516
Practice Location Phone/Fax
| Phone: | 3183252634 |
| Fax: | 3188121205 |
Provider Mailing Location
611 GRAMMONT ST.
MONROE
LA
712017516
Provider Mailing Phone/Fax
| Phone: | 3183252634 |
| Fax: | 3188121205 |