| Doctor Name: | ELIZABETH FITZGERALD |
| NPI Number: | 1942694666 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.D. |
| License Number: | 020710DI00000858 |
| Business Practice Address: | 410 Newport Way Nw Suite B Issaquah, WA - 980273116 |
| Business Phone Number: | 4253913376 |
| Business Fax Number: | |
| Mailing Address: | 410 Newport Way Nw, Suite B ISSAQUAH |
| State: | WA |
| Postal Code: | 980273116 |
| Phone Number: | 4253913376 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2015 |
| NPI Last Update Date: | 03/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 020710DI00000858 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |