Provider Demographics
NPI:1457742132
Name:FISHER, RACHEL DUNCAN (APRN)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:DUNCAN
Last Name:FISHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1169 EASTERN PKWY
Mailing Address - Street 2:STE G58
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-1472
Mailing Address - Country:US
Mailing Address - Phone:502-452-9567
Mailing Address - Fax:502-473-0586
Practice Address - Street 1:1169 EASTERN PKWY
Practice Address - Street 2:STE G58
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1472
Practice Address - Country:US
Practice Address - Phone:502-452-9567
Practice Address - Fax:502-473-0586
Is Sole Proprietor?:No
Enumeration Date:2015-02-17
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY3008970363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily