Healthcare Provider Details

I. General information

NPI: 1497687529
Provider Name (Legal Business Name): SHAWNAE FISCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8967 PRIMO LN
WEST DES MOINES IA
50266-8465
US

IV. Provider business mailing address

8967 PRIMO LN
WEST DES MOINES IA
50266-8465
US

V. Phone/Fax

Practice location:
  • Phone: 563-590-2953
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA190268
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: