Jane Rose Fischer, BSN

Individual provider Active NPI College Health Registered Nurse · Whitewater, WI

NPI 1043436645 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043436645
Entity type
Individual (NPI type 1)
Primary specialty
College Health Registered Nurse 163WC1400X
License
52402030 (WI)
Practice address
800 W Main St
Whitewater, WI 53190-1705
Phone
(262) 472-1300
Fax
(262) 472-5608
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
52402030WIMDCollege Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin System Non Payroll Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
College Health Registered Nurse 163WC1400X 52402030 WI Yes

Addresses

Primary practice location

800 W Main St
Whitewater, WI 53190-1705

Mailing address

237 N Sanborn Ave
Jefferson, WI 53549-1226
Phone (920) 674-2714

Other providers in Whitewater, WI

All providers in Whitewater, WI · College Health Registered Nurse in Wisconsin

Sources for this page

Verify at the official NPI Registry.