Provider Demographics
NPI:1437731312
Name:FISHER, AMBER (APRN, CNP)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:FISHER
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:RIEDMAIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN, CNP
Mailing Address - Street 1:120 E COUNTY ROAD 73
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-8914
Mailing Address - Country:US
Mailing Address - Phone:419-463-7520
Mailing Address - Fax:
Practice Address - Street 1:950 W WOOSTER ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2699
Practice Address - Country:US
Practice Address - Phone:419-463-7520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-21
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0028642363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty