Provider Demographics
NPI:1770867400
Name:FISCHER, VIVIANNE LEE (MA, CPM)
Entity Type:Individual
Prefix:MRS
First Name:VIVIANNE
Middle Name:LEE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MA, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 OSPREY LANE
Mailing Address - Street 2:
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163
Mailing Address - Country:US
Mailing Address - Phone:509-334-6165
Mailing Address - Fax:
Practice Address - Street 1:335 OSPREY LN
Practice Address - Street 2:
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5265
Practice Address - Country:US
Practice Address - Phone:509-334-6165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-29
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife