Individual
KELLY MARIE FITZGERALD
Active
Individual
KELLY MARIE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.490426
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0038641
OH
Other
Enumeration date
11/08/2024
Last updated
03/31/2025
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