Individual provider · Type 1 NPI
Lisa Fickenscher, CRNP
Acute Care Nurse Practitioner · Baltimore, MD
NPI number
1386779320
Active
Practice location
2401 W Belvedere Ave
Baltimore, MD 21215-5216
Fax (410) 601-9345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | R107620 (MD) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1386779320
Lisa Fickenscher, CRNP's National Provider Identifier is 1386779320, issued on Feb 22, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.