Individual
MARY KATHLEEN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
Mailing address
107 COMMERCIAL ST, MASHPEE, MA 02649-6507
(508) 477-7090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2345065
MA
363L00000X
Nurse Practitioner
Primary
RN2345065
MA
Other
Enumeration date
10/21/2024
Last updated
07/18/2026
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