Provider Demographics
NPI:1750377107
Name:FISCHER, DEBORAH L (ANP)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:L
Last Name:FISCHER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 CAMP ST
Mailing Address - Street 2:
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-3006
Mailing Address - Country:US
Mailing Address - Phone:508-790-5955
Mailing Address - Fax:
Practice Address - Street 1:91 CAMP ST
Practice Address - Street 2:
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-3006
Practice Address - Country:US
Practice Address - Phone:508-790-5955
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171914363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP54377Medicare UPIN
MANP2786Medicare ID - Type Unspecified