Provider Demographics
NPI:1184040511
Name:FISCHER, LEISHA (ARNP)
Entity Type:Individual
Prefix:
First Name:LEISHA
Middle Name:
Last Name:FISCHER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 EAST 7TH STREET, SUITE 2
Mailing Address - Street 2:SPENCER CONVENIENT HEALTHCARE
Mailing Address - City:SPENCER
Mailing Address - State:IA
Mailing Address - Zip Code:51301
Mailing Address - Country:US
Mailing Address - Phone:712-580-6592
Mailing Address - Fax:712-580-6593
Practice Address - Street 1:116 EAST 7TH STREET, SUITE 2
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:IA
Practice Address - Zip Code:51301
Practice Address - Country:US
Practice Address - Phone:712-580-6592
Practice Address - Fax:712-580-6593
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06811363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily