Provider Demographics
NPI:1083244164
Name:FISCHER, ERIN PATRICIA (RDN, LDN)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:PATRICIA
Last Name:FISCHER
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 BENTLEY CT
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2369
Mailing Address - Country:US
Mailing Address - Phone:610-256-0415
Mailing Address - Fax:
Practice Address - Street 1:508 BENTLEY CT
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2369
Practice Address - Country:US
Practice Address - Phone:610-256-0415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN006927133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered