Provider Demographics
NPI:1851106850
Name:FISTLER, CAROLE JEAN
Entity type:Individual
Prefix:
First Name:CAROLE
Middle Name:JEAN
Last Name:FISTLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 282
Mailing Address - Street 2:720 CHEYENNE AVE
Mailing Address - City:HEMINGFORD
Mailing Address - State:NE
Mailing Address - Zip Code:69348
Mailing Address - Country:US
Mailing Address - Phone:308-760-5867
Mailing Address - Fax:
Practice Address - Street 1:BOX 282
Practice Address - Street 2:720 CHEYENNE AVE
Practice Address - City:HEMINGFORD
Practice Address - State:NE
Practice Address - Zip Code:69348
Practice Address - Country:US
Practice Address - Phone:308-760-5867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-08
Last Update Date:2025-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist