Individual
HOLLY FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN
Contact information
Practice address
625 CLARK AVE, BRISTOL, CT 06010-4068
(860) 583-7700
Mailing address
144 MCKENZIE DR, SOUTHINGTON, CT 06489-4149
(860) 583-7700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6865
CT
363LP2300X
Primary Care Nurse Practitioner
6865
CT
Other
Enumeration date
12/05/2016
Last updated
03/06/2017
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