Provider Demographics
NPI:1083014492
Name:GOWEY-FISCHER, LISA M (APNP)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:M
Last Name:GOWEY-FISCHER
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9086 W MOORES BAY RD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:WI
Mailing Address - Zip Code:54843-3428
Mailing Address - Country:US
Mailing Address - Phone:715-650-1332
Mailing Address - Fax:
Practice Address - Street 1:9086 W MOORES BAY RD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:WI
Practice Address - Zip Code:54843-3428
Practice Address - Country:US
Practice Address - Phone:715-650-1332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-04
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5995-33363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health