Provider Demographics
NPI:1538934708
Name:FISHER, RYNA ANN
Entity type:Individual
Prefix:
First Name:RYNA
Middle Name:ANN
Last Name:FISHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 E NICOLE CIR
Mailing Address - Street 2:
Mailing Address - City:HAYSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:67060-6700
Mailing Address - Country:US
Mailing Address - Phone:904-364-7626
Mailing Address - Fax:
Practice Address - Street 1:4013 N RIDGE RD STE 110
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-8859
Practice Address - Country:US
Practice Address - Phone:316-201-6294
Practice Address - Fax:316-364-3020
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional