Provider Demographics
NPI:1386991180
Name:REESE, PHOEBE WHITMAN FISHER (FNP)
Entity type:Individual
Prefix:MS
First Name:PHOEBE
Middle Name:WHITMAN FISHER
Last Name:REESE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 MAIN ST
Mailing Address - Street 2:BASSETT HEALTHCARE - ONEONTA PEDIATRICS
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-2531
Mailing Address - Country:US
Mailing Address - Phone:607-433-1790
Mailing Address - Fax:
Practice Address - Street 1:125 MAIN ST
Practice Address - Street 2:BASSETT HEALTHCARE - ONEONTA PEDIATRICS
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-2531
Practice Address - Country:US
Practice Address - Phone:607-433-1790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337526-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily