Individual
MRS. NANCY B FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
17 OLD PUMP RD, JERICHO, VT 05465-2000
(802) 899-4334
Mailing address
17 OLD PUMP RD, JERICHO, VT 05465-2000
(802) 899-4334
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
836497
CDR
VT
Enumeration date
03/07/2007
Last updated
07/08/2007
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