Individual
PATRICIA ANN FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1116 N 16TH ST, SUITE A, LAFAYETTE, IN 47904
(765) 448-8000
(765) 448-8807
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71001278A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000372034
ANTHEM PROVIDER NUMBER
IN
05
—
200360850
—
IN
01
—
9397622
PHCS PID NUMBER
IN
Enumeration date
03/23/2006
Last updated
07/23/2012
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