Individual provider · Type 1 NPI

Fisher Wadlow, FNP

Family Nurse Practitioner · Farmington, MO

NPI number 1588421663 Active

Practice location

534 Maple Valley Dr
Farmington, MO 63640-1981

Mailing address

555 W Pine St
Farmington, MO 63640-1439

Other practice locations

  • 555 W Pine St, Farmington, MO 63640-1439 · (573) 747-1510

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2024010299 (MO)
Nurse Practitioner 363L00000X2024010299 (MO)

Family Nurse Practitioner: Definition to come...

8 other providers at this address

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About NPI 1588421663

Fisher Wadlow, FNP's National Provider Identifier is 1588421663, issued on Mar 5, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Farmington, MO. The record was last updated on Sep 19, 2025.