Healthcare Provider Details

I. General information

NPI: 1093438434
Provider Name (Legal Business Name): KELLY MARIE FISCHER APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48462 BELL SCHOOL RD
CALCUTTA OH
43920-9625
US

IV. Provider business mailing address

48462 BELL SCHOOL RD STE D
CALCUTTA OH
43920-9625
US

V. Phone/Fax

Practice location:
  • Phone: 304-140-8900
  • Fax:
Mailing address:
  • Phone: 330-556-6666
  • Fax: 330-921-4456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0033076
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: