Individual
MRS. MEGAN J FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC. M.S.
Contact information
Practice address
300 LAFAYETTE AVE SE, STE 2045, GRAND RAPIDS, MI 49503-4692
(616) 685-3098
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508-5008
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704254066
MI
Other
Enumeration date
07/11/2012
Last updated
12/30/2021
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