Individual
MRS. KRISTA FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9107
(316) 689-9354
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5377069
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719444
MEDICARE
—
01
—
200624250A
OK MEDICAID
OK
Enumeration date
12/28/2015
Last updated
04/27/2022
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