Healthcare Provider Details

I. General information

NPI: 1801661657
Provider Name (Legal Business Name): ASHLEY LYNN FISCHER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2023
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

712 S CASCADE ST
FERGUS FALLS MN
56537-2913
US

IV. Provider business mailing address

30079 OAKLAND DR
DETROIT LAKES MN
56501-7412
US

V. Phone/Fax

Practice location:
  • Phone: 218-736-8000
  • Fax:
Mailing address:
  • Phone: 406-860-0493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number12004
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR55064
License Number StateND
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number2495796
License Number StateMN
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN-99194
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: