Provider Demographics
NPI:1689037327
Name:FISCHER, ROBIN STAFFORD (APRN)
Entity Type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:STAFFORD
Last Name:FISCHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 E REDSTONE AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:32539-5355
Mailing Address - Country:US
Mailing Address - Phone:334-208-1139
Mailing Address - Fax:
Practice Address - Street 1:131 E REDSTONE AVE STE 110
Practice Address - Street 2:
Practice Address - City:CRESTVIEW
Practice Address - State:FL
Practice Address - Zip Code:32539-5355
Practice Address - Country:US
Practice Address - Phone:503-985-9228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-31
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9427546363LF0000X
AL1-140610363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily