Provider Demographics
NPI:1346923703
Name:FISHER, REHANNON M (APRN-CNP AGACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:REHANNON
Middle Name:M
Last Name:FISHER
Suffix:
Gender:F
Credentials:APRN-CNP AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 N TENAYA WAY STE 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0479
Mailing Address - Country:US
Mailing Address - Phone:702-955-8887
Mailing Address - Fax:
Practice Address - Street 1:2701 N TENAYA WAY STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0479
Practice Address - Country:US
Practice Address - Phone:702-955-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-10
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV869969363LA2100X, 363LC0200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LC0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine