Individual
SCOTT FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
421 ZANG ST, LAKEWOOD, CO 80228-1052
(303) 989-4357
Mailing address
13626 PONDEROSA DR, CONIFER, CO 80433-5304
(303) 906-9475
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
99603
CO
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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