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NPI Code Detail

MEDICARE: MARCIA LOREN SMITH-FISCHER RN

MEDICARE: MARCIA LOREN SMITH-FISCHER RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse328238NC

General Provider Information

NPI Number : 1518405406
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCIA LOREN SMITH-FISCHER RN
Provider Business Mailing Address
First Line : 2027 HERON POINTE DR
Second Line :
City : WHITSETT
State : NC
Zip : 27377-9341
Country : US
Telephone Number : 336-324-8405
Fax Number : 434-857-5586
Provider Business Practice Location Address
First Line : 2505 S MEBANE ST STE A-B
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-6385
Country : US
Telephone Number : 336-223-0444
Fax Number : 336-223-0449
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2017
Last Update Date : 12/16/2021

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