Individual
HALEY NICOLE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
630 S FLEISHEL AVE, TYLER, TX 75701-2041
(903) 606-5560
Mailing address
800 E DAWSON ST, TYLER, TX 75701-2036
(903) 606-7264
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1046321
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1046321
TX
Other
Enumeration date
07/02/2021
Last updated
04/27/2022
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