Individual
CASSANDRA MICHELLE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, QMHP-E
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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