Individual
KATHLEEN FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
DSHS BEHAVIORAL HEALTH & TREATMENT CENTER / MAPLE LANE, 20311 OLD HIGHWAY 9 SW, CENTRAILIA, WA 98531
(564) 464-5419
Mailing address
900 CAPITOL WAY S # 116, OLYMPIA, WA 98501-1276
(404) 620-6943
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN096592
GA
363LF0000X
Family Nurse Practitioner
AP 19129
SC
363LF0000X
Family Nurse Practitioner
AP60353041
WA
363LF0000X
Family Nurse Practitioner
Primary
R243137
MD
Other
Enumeration date
07/07/2010
Last updated
05/29/2024
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