Individual
MS. HEATHER FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 NORTHAMPTON ST, BOSTON, MA 02118-4098
(888) 522-2199
Mailing address
30 NORTHAMPTON ST, BOSTON, MA 02118-4098
(888) 522-2199
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
182001
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110096291A
—
MA
Enumeration date
03/01/2011
Last updated
05/16/2023
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