Provider Demographics
NPI:1801324223
Name:FISCHER, DANIELLE RAE (PA)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:RAE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:15380 W FILLMORE ST APT 3105
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-4682
Mailing Address - Country:US
Mailing Address - Phone:816-686-7220
Mailing Address - Fax:
Practice Address - Street 1:10710 NALL AVE
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1206
Practice Address - Country:US
Practice Address - Phone:913-945-9400
Practice Address - Fax:913-945-9410
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2025-05-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS15-03079363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant