Sylvia Fischer, CNM FNP-CCNM FNP-CUnclaimed · claim itNurse Practitioner — Primary CareVail, AZ11+ years experienceRegistered with an NPI since 2015. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.(206) 940-2610NPI 1457748147View Profile Claim