Healthcare Provider Details

I. General information

NPI: 1760308233
Provider Name (Legal Business Name): TANJA FISCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2026
Last Update Date: 06/27/2026
Certification Date: 06/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 2ND ST NW
MANDAN ND
58554-2590
US

IV. Provider business mailing address

805 2ND ST NW
MANDAN ND
58554-2590
US

V. Phone/Fax

Practice location:
  • Phone: 701-934-2965
  • Fax:
Mailing address:
  • Phone: 701-934-2965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: