Provider Demographics
NPI:1417712993
Name:FISHER, LINDSAY VICTORIA (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:VICTORIA
Last Name:FISHER
Suffix:
Gender:
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5202 E CHOLLA ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-4719
Mailing Address - Country:US
Mailing Address - Phone:949-287-1657
Mailing Address - Fax:
Practice Address - Street 1:16427 N SCOTTSDALE RD STE 410
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-7102
Practice Address - Country:US
Practice Address - Phone:602-800-4699
Practice Address - Fax:415-276-5889
Is Sole Proprietor?:No
Enumeration Date:2024-02-14
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV837776363LP0808X
CA95034120363LP0808X
AZ308098363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health