Provider Demographics
NPI:1952974677
Name:FISHER, DANA VICTORIA (NP)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:VICTORIA
Last Name:FISHER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:371 MINSTREL CT
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3262
Mailing Address - Country:US
Mailing Address - Phone:347-791-1881
Mailing Address - Fax:
Practice Address - Street 1:80 JAMES ST FL 3
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-3938
Practice Address - Country:US
Practice Address - Phone:732-750-1200
Practice Address - Fax:732-602-4044
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF309291-01363LP2300X
NJ26NJ01137300363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care