Provider Demographics
NPI:1669358396
Name:FISCHER, STEFANIE NICOLE (FNP)
Entity type:Individual
Prefix:MS
First Name:STEFANIE
Middle Name:NICOLE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16511 WILD HORSE CREEK RD APT 471
Mailing Address - Street 2:
Mailing Address - City:CHESTERFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63017-1445
Mailing Address - Country:US
Mailing Address - Phone:636-236-5270
Mailing Address - Fax:
Practice Address - Street 1:390 OFFICE CT
Practice Address - Street 2:
Practice Address - City:FAIRVIEW HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:62208-2059
Practice Address - Country:US
Practice Address - Phone:618-233-7666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025014129363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily