MEDICARE: EMILY CAROL FISCHER ARNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP30001934	WA

General Provider Information

NPI Number	:	1982607313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY CAROL FISCHER ARNP

Provider Business Mailing Address
First Line	:	4308 76TH STREET NE
Second Line	:
City	:	MARYSVILLE
State	:	WA
Zip	:	98270
Country	:	US
Telephone Number	:	425-349-7352
Fax Number	:	425-349-7366

Provider Business Practice Location Address
First Line	:	4308 76TH STREET NE
Second Line	:
City	:	MARYSVILLE
State	:	WA
Zip	:	98270
Country	:	US
Telephone Number	:	425-349-7352
Fax Number	:	425-349-7366

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/11/2014

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