# MRS. WENDY LEE FITZGERALD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477652238
- **Gender:** F
- **Credential:** RN CRNP FAMILY NURSE

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | NP104225 | MD | Yes |
| 363L00000X | Nurse Practitioner | R104225 | MD | — |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | F6200002 | BCBS | — |