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NPI Code Detail

MEDICARE: MRS. SUSAN PAIGE FISCHER MA

MEDICARE:  MRS. SUSAN PAIGE FISCHER  MA
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1790803450
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN PAIGE FISCHER MA
Provider Business Mailing Address
First Line : 3904 HANNETT AVE NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-4918
Country : US
Telephone Number : 505-301-3748
Fax Number :
Provider Business Practice Location Address
First Line : 2221 RIO GRANDE BLVD NW
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87104-2529
Country : US
Telephone Number : 505-830-1871
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/21/2022

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Directions to “ MRS. SUSAN PAIGE FISCHER MA” Practice Location

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