Individual
SHEILA M FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 622-8170
Mailing address
5301 FARAON ST STE 120, SAINT JOSEPH, MO 64506-3512
(816) 271-1066
(816) 271-6786
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2017017446
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01269
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15657078
—
NM
Enumeration date
09/16/2006
Last updated
02/22/2023
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