MEDICARE: AMBER FISCHER MS, CNS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133N00000X	Nutritionist	CNS17517

General Provider Information

NPI Number	:	1659959781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER FISCHER MS, CNS

Provider Business Mailing Address
First Line	:	8914 SILVER CITY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-4433
Country	:	US
Telephone Number	:	210-391-6790
Fax Number	:

Provider Business Practice Location Address
First Line	:	8914 SILVER CITY
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-4433
Country	:	US
Telephone Number	:	210-391-6790
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2021
Last Update Date	:	03/30/2021

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