Individual
KATIE LYNN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 TAYLOR ST STE 6F, COLUMBIA, SC 29201-2953
(803) 296-3273
(803) 296-7061
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
23185
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
23338
SC
363LA2100X
Acute Care Nurse Practitioner
RN232213
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6417
—
SC
Enumeration date
07/29/2015
Last updated
02/02/2024
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