Provider Demographics
NPI:1255996898
Name:FISCHER, CHANTIEL ALEXIS (CRNP)
Entity type:Individual
Prefix:
First Name:CHANTIEL
Middle Name:ALEXIS
Last Name:FISCHER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CHANTIEL
Other - Middle Name:ALEXIS
Other - Last Name:UMBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4300 LONDONDERRY RD
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-5317
Mailing Address - Country:US
Mailing Address - Phone:717-657-7500
Mailing Address - Fax:
Practice Address - Street 1:101 ERFORD RD STE 101
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-1802
Practice Address - Country:US
Practice Address - Phone:717-975-8900
Practice Address - Fax:717-975-9400
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP018922363LA2200X, 363LG0600X, 207RH0003X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology