Individual
MRS. MICHELLE KRISTEN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
268092
MA
208000000X
Pediatrics Physician
268092
MA
363LP2300X
Primary Care Nurse Practitioner
Primary
268092
MA
Other
Enumeration date
11/01/2019
Last updated
10/18/2021
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