Provider Demographics
NPI:1457748147
Name:FISCHER, SYLVIA (CNM FNP-C)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:FISCHER
Suffix:
Gender:F
Credentials:CNM FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14121 E VIA DEL ABRIGO
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:AZ
Mailing Address - Zip Code:85641-2054
Mailing Address - Country:US
Mailing Address - Phone:520-647-0096
Mailing Address - Fax:
Practice Address - Street 1:14121 E VIA DEL ABRIGO
Practice Address - Street 2:
Practice Address - City:VAIL
Practice Address - State:AZ
Practice Address - Zip Code:85641-2054
Practice Address - Country:US
Practice Address - Phone:206-940-2610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP7755363LP2300X
AZAP2025367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife