Provider Demographics
NPI:1518405406
Name:SMITH-FISCHER, MARCIA LOREN (RN)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:LOREN
Last Name:SMITH-FISCHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:LOREN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2027 HERON POINTE DR
Mailing Address - Street 2:
Mailing Address - City:WHITSETT
Mailing Address - State:NC
Mailing Address - Zip Code:27377-9341
Mailing Address - Country:US
Mailing Address - Phone:336-324-8405
Mailing Address - Fax:434-857-5586
Practice Address - Street 1:2505 S MEBANE ST STE A-B
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-6385
Practice Address - Country:US
Practice Address - Phone:336-223-0444
Practice Address - Fax:336-223-0449
Is Sole Proprietor?:No
Enumeration Date:2017-02-10
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC328238163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse