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Individual
AMY FITZGIBBON
Active
Individual
AMY FITZGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5011514
NC
363L00000X
Nurse Practitioner
R242201
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
209026128
IL
Other
Enumeration date
02/26/2019
Last updated
11/04/2024
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