Individual
TYPHANEE LYNETTE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 POWELL PL, BRENTWOOD, TN 37027-7522
(615) 369-0614
(615) 369-0615
Mailing address
205 POWELL PL, BRENTWOOD, TN 37027-7522
(615) 369-0614
(615) 369-0615
Taxonomy
Speciality
Code
Description
License number
State
374T00000X
Religious Nonmedical Nursing Personnel
Primary
611679780
TN
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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