Deborah Jane Fischer, R.N.

Individual provider Active NPI Home Health Registered Nurse · Randolph, NY

NPI 1104136985 · NPPES record last updated Oct 14, 2010

Key facts

NPI
1104136985
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
371133 (NY)
Practice address
4773 Windmill Rd.
Randolph, NY 14772
Phone
(716) 358-4657
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
371133NYMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 371133 NY Yes

Addresses

Primary practice location

4773 Windmill Rd.
Randolph, NY 14772

Mailing address

4773 Windmill Rd.
Randolph, NY 14772
Phone (716) 358-4657

Other providers in Randolph, NY

All providers in Randolph, NY · Home Health Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.