Individual
FAYE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
750 CENTRAL AVE, SUITE O, DOVER, NH 03820-3434
(603) 742-2263
(603) 740-7116
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-4478
(603) 740-2244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
028927-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205534300
W/C-FEDERAL
—
05
—
30341994
—
NH
05
—
4325110099
—
ME
Enumeration date
04/24/2006
Last updated
03/06/2008
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