Provider Demographics
NPI:1801265178
Name:FISHINGER, LAURIE ANN (RN)
Entity type:Individual
Prefix:
First Name:LAURIE
Middle Name:ANN
Last Name:FISHINGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29441 GLENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-7504
Mailing Address - Country:US
Mailing Address - Phone:570-460-4370
Mailing Address - Fax:
Practice Address - Street 1:29441 GLENWOOD DR
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-7504
Practice Address - Country:US
Practice Address - Phone:570-460-4370
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL1-0039501163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse