Individual
MR. SHAWN ALLEN FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
1531 S MADISON ST STE 580, APPLETON, WI 54915-1800
(920) 738-2000
Mailing address
1531 S MADISON ST STE 580, APPLETON, WI 54915-1800
(920) 738-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9081
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9018-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100088432
—
WI
05
—
100088873
—
WI
Enumeration date
01/30/2019
Last updated
03/31/2022
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