Healthcare Provider Details

I. General information

NPI: 1104084706
Provider Name (Legal Business Name): ABIGAIL L FISCHER CPNP AC PC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 MICHIGAN ST STE 200
SIDNEY OH
45365-2401
US

IV. Provider business mailing address

PO BOX 933432
CLEVELAND OH
44193-0039
US

V. Phone/Fax

Practice location:
  • Phone: 937-498-5513
  • Fax: 937-497-5674
Mailing address:
  • Phone: 937-641-4000
  • Fax: 937-641-4500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPRN.CNP-07931
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: