Individual provider · Type 1 NPI

Matthew Fischer

Gerontology Nurse Practitioner · Greenville, SC

NPI number 1003453424 Active

Practice location

255 Enterprise Blvd Ste 101
Greenville, SC 29615-3530

Fax (864) 454-8125

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X22900 (SC)
Gerontology Nurse Practitioner Primary 363LG0600X22900 (SC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1003453424

Matthew Fischer's National Provider Identifier is 1003453424, issued on Dec 4, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Greenville, SC. The record was last updated on Apr 13, 2022.