DIERDRE DENISE FISHER RN APRN BC CNSPMH NPI 1235168816

NPI Information

NPI: 1235168816
Provider Name: DIERDRE DENISE FISHER, RN, APRN, BC, CNSPMH
Classification: Clinical Nurse Specialist - 364SP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
616 W RUSSELL PL
SAN ANTONIO, TX
ZIP 78212
Phone: (800) 257-8715
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Dierdre Denise Fisher, RN, APRN, BC, CNSPMH is a psychiatric/mental health clinical nurse specialist in San Antonio, TX. Dierdre Denise Fisher, RN, APRN, BC, CNSPMH NPI is 1235168816. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

616 W RUSSELL PL
SAN ANTONIO, TX
ZIP 78212-658
Phone: (800) 257-8715
Fax: (800) 819-1655

The enumeration date for this NPI number is 7/3/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	627372	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	148814002	MEDICAID	TEXAS
2	P00108424	OTHER	TEXAS	RAILROAD
3	87N342	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
4	89N424	OTHER	TEXAS	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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