| Doctor Name: | ANNE HALLETT FISHWICK |
| NPI Number: | 1679933485 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | AP130393 |
| Business Practice Address: | 600 W Hillsboro Blvd Suite 110 Deerfield Bch, FL - 334411609 |
| Business Phone Number: | 9549902050 |
| Business Fax Number: | |
| Mailing Address: | 1100 S Lamar Blvd, Apt. #3004 AUSTIN |
| State: | TX |
| Postal Code: | 787040119 |
| Phone Number: | 5104993916 |
| Fax Number: | |
| NPI Enumeration Date: | 03/07/2016 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP130393 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |