Provider Demographics
NPI:1942389606
Name:FISCHER, AMY K (PA-C)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:K
Last Name:FISCHER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:K
Other - Last Name:STOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:250 N COLUMBIA AVE
Mailing Address - Street 2:
Mailing Address - City:SEWARD
Mailing Address - State:NE
Mailing Address - Zip Code:68434-2248
Mailing Address - Country:US
Mailing Address - Phone:402-646-4622
Mailing Address - Fax:402-646-4635
Practice Address - Street 1:100 4TH ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NE
Practice Address - Zip Code:68456-6016
Practice Address - Country:US
Practice Address - Phone:402-534-2081
Practice Address - Fax:402-534-2187
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE909363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE35161OtherMIDLANDS CHOICE
NE37363OtherBCBS OF NEBRASKA
NE35161OtherMIDLANDS CHOICE
NE273306Medicare ID - Type Unspecified