Dr BRENDA FISH is a female medical professional, specializing in Nurse Practitioner. She graduated in 1996.
UNIVERSITY OF UTAH ADULT SERVICES
3100 CHANNING WAY
IDAHO FALLS
ID
834047533
Tel: 2085296111
| Npi | 1689764284 |
| Pac Id | 3173667011 |
| Professional Enrollment Id | I20100216000802 |
| Last Name | FISH |
| First Name | BRENDA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | UNIVERSITY OF UTAH ADULT SERVICES |
| Group Practice Pac Id | 0941525273 |
| Number Of Group Practice Members | 1231 |
| Line 1 Street Address | 3100 CHANNING WAY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834047533 |
| Phone Number | 2085296111 |
| Hospital Affiliation Ccn 1 | 460009 |
| Hospital Affiliation Lbn 1 | UNIVERSITY OF UTAH HOSPITALS AND CLINICS |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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