Healthcare Provider Details

I. General information

NPI: 1295047504
Provider Name (Legal Business Name): KAREN M FISCHER ACNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2010
Last Update Date: 11/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5514 CORPORATE DR. STE. 150
ST JOSEPH MO
64507-7752
US

IV. Provider business mailing address

5514 CORPORATE DR STE 150
SAINT JOSEPH MO
64507-7763
US

V. Phone/Fax

Practice location:
  • Phone: 816-271-1221
  • Fax: 816-279-7794
Mailing address:
  • Phone: 816-271-1241
  • Fax: 816-279-7794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License Number095059
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number095059
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: