Individual
ERICA A FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209020458
IL
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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