Individual provider · Type 1 NPI

Renee Sara Leisen Fisher, FNP-C

Nurse Practitioner · Champlin, MN

NPI number 1336872498 Active

Practice location

12142 Business Park Blvd N
Champlin, MN 55316-4525

Mailing address

8170 33rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X9595 (MN)
Registered Nurse 163W00000X2015284 (MN)
Nurse Practitioner Primary 363L00000X9595 (MN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1336872498

Renee Sara Leisen Fisher, FNP-C's National Provider Identifier is 1336872498, issued on Jul 6, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Champlin, MN. The record was last updated on Dec 5, 2025.