Individual
NICOLE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
21202 OWENS RD STE 101, MOKENA, IL 60448-2001
(779) 334-0030
(779) 334-0031
Mailing address
21202 OWENS RD STE 101, MOKENA, IL 60448-2001
(779) 334-0030
(779) 334-0031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209017551
IL
363LF0000X
Family Nurse Practitioner
209017551
IL
Other
Enumeration date
05/02/2018
Last updated
10/26/2021
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