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Individual
MR. RICHARD FITZSIMMONS
Active
Individual
MR. RICHARD FITZSIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9393
CA
363L00000X
Nurse Practitioner
RN421408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR006315
GROUP MEDI-CAL #
CA
05
—
PPIN9393
—
CA
01
—
W13536C
GROUP MEDICARE #
CA
01
—
WNP9393C
MEDICARE PTAN
CA
Enumeration date
07/17/2006
Last updated
12/04/2024
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