Individual
KATHLEEN PERRY FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-6428
Mailing address
233 TABOR VIEW LN, WINSTON SALEM, NC 27106-4574
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
5014111
NC
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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