Doctor Name: | MICHELLE D FITZGERALD |
NPI Number: | 1861469736 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | CNP81416 |
Business Practice Address: | 149 North St Mgha Hospitalist Program-wtvl Waterville, ME - 04901 |
Business Phone Number: | 2078721000 |
Business Fax Number: | |
Mailing Address: | 149 North St, Mgha Hospitalist Program-wtvl WATERVILLE |
State: | ME |
Postal Code: | 04901 |
Phone Number: | 2078721000 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2006 |
NPI Last Update Date: | 06/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | CNP81416 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |