Doctor Name: | MS. TAMARA SUE FITZGERALD |
NPI Number: | 1649495326 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 24920 |
Business Practice Address: | 1296 Agvik St Barrow, AK - 99723 |
Business Phone Number: | 9078529259 |
Business Fax Number: | 9078522016 |
Mailing Address: | Po Box 994, 1298 Agvik Street Apt 103 BARROW |
State: | AK |
Postal Code: | 997230994 |
Phone Number: | 9078529323 |
Fax Number: | 9078522016 |
NPI Enumeration Date: | 04/16/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WM0705X |
License Number: | 24920 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |