Provider Demographics
NPI:1578858718
Name:FISCHER, DEBRA LEA (APN)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:LEA
Last Name:FISCHER
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MISS
Other - First Name:DEBRA
Other - Middle Name:LEA
Other - Last Name:SAATHOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:385 S. ORANGE STREET
Mailing Address - Street 2:ADVOCATE MEDICAL GROUP
Mailing Address - City:EL PASO
Mailing Address - State:IL
Mailing Address - Zip Code:61738-1587
Mailing Address - Country:US
Mailing Address - Phone:309-527-4900
Mailing Address - Fax:309-527-3525
Practice Address - Street 1:385 S. ORANGE STREET
Practice Address - Street 2:ADVOCATE MEDICAL GROUP
Practice Address - City:EL PASO
Practice Address - State:IL
Practice Address - Zip Code:61738-1587
Practice Address - Country:US
Practice Address - Phone:309-527-4900
Practice Address - Fax:309-527-3525
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209008470363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health