DR. SUE ELLEN FISHER PHD APRN NPI 1568449619

NPI Information

NPI: 1568449619
Provider Name: DR. SUE ELLEN FISHER, PHD, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
2994 TOLCATE LN
SALT LAKE CITY, UT
ZIP 84121
Phone: (801) 278-4598
Get Directions

DR. Sue Ellen Fisher, PHD, APRN is a psychiatric/mental health nurse practitioner in Salt Lake City, UT. DR. Sue Ellen Fisher, PHD, APRN NPI is 1568449619. 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:

2994 TOLCATE LN
SALT LAKE CITY, UT
ZIP 84121-529
Phone: (801) 278-4598

The enumeration date for this NPI number is 12/29/2005 and was last updated on 12/21/2012.

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	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	1947254405	UTAH	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	194725-4405	UTAH	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	S69306	MEDICARE UPIN
2	ICAR S69306	MEDICARE ID-TYPE UNSPECIFIED	UTAH	MEDICARE ADVANTAGE PLANS
3	CARE 004662169	MEDICARE ID-TYPE UNSPECIFIED	UTAH	MEDICARE
4	RCAR 005549501	MEDICARE ID-TYPE UNSPECIFIED	UTAH	RAILROAD MEDICARE
5	CARE 005549501	MEDICARE ID-TYPE UNSPECIFIED	UTAH	MEDICARE
6	MF0116788	OTHER	UTAH	DEA
7	U006 107001404101	OTHER	UTAH	INTRMTN. HEALTH CARE
8	U003 942938348F11	OTHER	UTAH	EDUCATORS MUTUAL
9	U002 262141	OTHER	UTAH	DESERET MUTUAL
10	U009 942938348	OTHER	UTAH	CHAMPUS
11	RCAR 004662169	MEDICARE ID-TYPE UNSPECIFIED	UTAH	RAILROAD MEDICARE

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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