Provider Demographics
NPI:1124534235
Name:FICHTER, CAROLINE (FNP)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:FICHTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:FICHTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 1951
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-1951
Mailing Address - Country:US
Mailing Address - Phone:301-641-4056
Mailing Address - Fax:
Practice Address - Street 1:309 WISCONSIN AVE STE 2
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-2319
Practice Address - Country:US
Practice Address - Phone:301-641-4056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-27
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT128518363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily