Provider Demographics
NPI:1679398564
Name:FISCHER, KIMBERLY A (MSCN)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:A
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MSCN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16420 N THOMPSON PEAK PKWY UNIT 2048
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2161
Mailing Address - Country:US
Mailing Address - Phone:952-240-7285
Mailing Address - Fax:
Practice Address - Street 1:16420 N THOMPSON PEAK PKWY UNIT 2048
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2161
Practice Address - Country:US
Practice Address - Phone:952-240-7285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program