Individual
TARA RENEE FITZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
800 ZORN AVE, LOUISVILLE, KY 40206
(502) 287-4000
Mailing address
2906 FLAIR KNOLL CT, LOUISVILLE, KY 40216-1921
(502) 939-7341
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4028512
KY
Other
Enumeration date
10/25/2024
Last updated
10/25/2024
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