Doctor Name: | MELINDA JO FISCHER |
NPI Number: | 1083782395 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BC, FNP |
License Number: | 122378 |
Business Practice Address: | 611 W Main St Fredericktown, MO - 636451111 |
Business Phone Number: | 5737834111 |
Business Fax Number: | 5737831096 |
Mailing Address: | 611 W Main St, FREDERICKTOWN |
State: | MO |
Postal Code: | 636451111 |
Phone Number: | 5737834111 |
Fax Number: | 5737831096 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 02/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 122378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |