# MS. HEATHER FITZPATRICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1255531943
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | MA053057 | PA | — |
| 363A00000X | Physician Assistant | PA08935 | TX | Yes |

## Other

- **Enumeration date:** 07/20/2007
- **Last updated:** 06/03/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 25-1716306 | HEALTHNET/TRICARE | PA |
| 01 | — | 50076559 | CAPITAL BLUECROSS | PA |
| 01 | — | 867633 | MEDICARE GROUP \# | PA |
| 01 | — | MA053057 | LICENSE | PA |
| 01 | — | P00691422 | RAILROAD MEDICARE | PA |