Provider Demographics
NPI:1578741336
Name:FISCHER, JOYCE RITA (LPN,RCS)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:RITA
Last Name:FISCHER
Suffix:
Gender:F
Credentials:LPN,RCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5209 HWY J
Mailing Address - Street 2:
Mailing Address - City:SCHOFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54476-3422
Mailing Address - Country:US
Mailing Address - Phone:715-359-8379
Mailing Address - Fax:715-359-5235
Practice Address - Street 1:5209 HWY J
Practice Address - Street 2:
Practice Address - City:SCHOFIELD
Practice Address - State:WI
Practice Address - Zip Code:54476-3422
Practice Address - Country:US
Practice Address - Phone:715-359-8379
Practice Address - Fax:715-359-5235
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI35047000Medicaid