Individual
MS. KIMBERLY J. FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2893 N RIDGE EAST, ASHTABULA, OH 44004-4134
(814) 835-2298
Mailing address
5529 SHADYBROOK DR, ERIE, PA 16506-6508
(814) 835-2298
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN252145L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2309988
—
OH
01
—
P00461234
RAILROAD MEDICARE
OH
Enumeration date
09/02/2005
Last updated
05/07/2013
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