| Doctor Name: | KRISTINA FISHER |
| NPI Number: | 1265777460 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN |
| License Number: | 348586 |
| Business Practice Address: | 3095 Kettering Blvd Moraine, OH - 454391983 |
| Business Phone Number: | 9375341553 |
| Business Fax Number: | |
| Mailing Address: | 5881 Oak Creek Trl, HUBER HEIGHTS |
| State: | OH |
| Postal Code: | 454244064 |
| Phone Number: | 9372368684 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2012 |
| NPI Last Update Date: | 11/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0807X |
| License Number: | 348586 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Child & Adolescent |
| Taxonomy Definition: | |