CARLA K FISHER P.A.-C NPI 1396749081

NPI Information

NPI: 1396749081
Provider Name: CARLA K FISHER, P.A.-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4700 LAS VEGAS BLVD N
NELLIS AFB, NV
ZIP 89191
Phone: (702) 653-3442
Get Directions

Carla K Fisher, P.A.-C is a medical physician assistant in Nellis Afb, NV. Carla K Fisher, P.A.-C NPI is 1396749081. 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:

4700 LAS VEGAS BLVD N
NELLIS AFB, NV
ZIP 89191-600
Phone: (702) 653-3442

The NPI 1396749081 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 10/24/2017.

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	363AM0700X	Physician Assistant	Medical	PA1594	NEVADA	Yes
2	363AM0700X	Physician Assistant	Medical	PA03538	TEXAS	No

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	Q25630	MEDICARE UPIN	TEXAS
2	8C6570	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

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: 4/28/2024

NPI Synchronization or Removal

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