Provider Demographics
NPI:1114590379
Name:FISCHLER, STEPHANIE JOAN (RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:JOAN
Last Name:FISCHLER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 NE 3RD AVE APT 2501
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33301-4112
Mailing Address - Country:US
Mailing Address - Phone:954-675-6642
Mailing Address - Fax:
Practice Address - Street 1:400 NE 3RD AVE APT 2501
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33301-4112
Practice Address - Country:US
Practice Address - Phone:954-675-6642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered