Basic Information
Provider Information
NPI: 1730798075
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FISCHLER
FirstName: BARBARA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 33 CAMBRIDGE XING
Address2:  
City: AVON
State: CT
PostalCode: 060014100
CountryCode: US
TelephoneNumber: 8607519015
FaxNumber:  
Practice Location
Address1: 555 WILLARD AVE
Address2:  
City: NEWINGTON
State: CT
PostalCode: 061112631
CountryCode: US
TelephoneNumber: 8606666951
FaxNumber: 8606676875
Other Information
ProviderEnumerationDate: 07/22/2020
LastUpdateDate: 05/07/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/07/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP2300X8971CTY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care

No ID Information.


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