Doctor Name: | RUTH ELLEN FISH |
NPI Number: | 1942291380 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | F330204 |
Business Practice Address: | 327 Broadway Fort Edward Internal Medicine Fort Edward, NY - 128281233 |
Business Phone Number: | 5187471041 |
Business Fax Number: | 5187471022 |
Mailing Address: | Po Box 304, GLENS FALLS |
State: | NY |
Postal Code: | 128010304 |
Phone Number: | 5187471041 |
Fax Number: | 5187471022 |
NPI Enumeration Date: | 11/03/2005 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F330204 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |