Provider Demographics
NPI:1295695070
Name:FISCHER, DANIELLE (LPN)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:FISCHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:AVENARIUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 DODGE ST STE A1
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52003-7159
Mailing Address - Country:US
Mailing Address - Phone:563-588-5520
Mailing Address - Fax:563-588-5521
Practice Address - Street 1:2600 DODGE ST STE A1
Practice Address - Street 2:
Practice Address - City:DUBUQUE
Practice Address - State:IA
Practice Address - Zip Code:52003-7159
Practice Address - Country:US
Practice Address - Phone:563-588-5520
Practice Address - Fax:563-588-5521
Is Sole Proprietor?:No
Enumeration Date:2025-11-14
Last Update Date:2025-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAP47970164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse