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Individual

CASSANDRA MICHELLE FITZGERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, QMHP-E

Contact information

Practice address
25 TINKLING SPRING RD, FISHERSVILLE, VA 22939-2261
(540) 495-0690
Mailing address
25 TINKLING SPRING RD, FISHERSVILLE, VA 22939-2261
(540) 495-0690

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001174798
VA
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
0734000435
VA

Other

Enumeration date
07/23/2021
Last updated
07/23/2021
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