Healthcare Provider Details

I. General information

NPI: 1184392722
Provider Name (Legal Business Name): CHRISTOPHER FISCHER AGPCNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2021
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23750 E 14TH AVE STE 250
AURORA CO
80018-1973
US

IV. Provider business mailing address

23750 E 14TH AVE STE 250
AURORA CO
80018-1973
US

V. Phone/Fax

Practice location:
  • Phone: 303-812-5200
  • Fax: 303-272-0262
Mailing address:
  • Phone: 303-812-5200
  • Fax: 303-272-0262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN-0996843-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: