Doctor Name: | PATRICIA KLINE FISCO |
NPI Number: | 1205860368 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | NP05961 |
Business Practice Address: | 422 Hedgewood Dr Gallipolis, OH - 456311114 |
Business Phone Number: | 7407091091 |
Business Fax Number: | 7404466813 |
Mailing Address: | 422 Hedgewood Dr, GALLIPOLIS |
State: | OH |
Postal Code: | 456311114 |
Phone Number: | 7407091091 |
Fax Number: | 7404466813 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 06/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | NP05961 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |