Individual
MRS. WENDY LEE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CRNP FAMILY NURSE
Contact information
Practice address
12417 OCEAN GATEWAY, HERRING CREEK PROFESSIONAL CENTER BLDG A SUITE 5, OCEAN CITY, MD 21842
(410) 213-0111
(410) 213-8459
Mailing address
10635 SHADY DRIVE, BERLIN, MD 21811
(410) 641-9007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP104225
MD
363L00000X
Nurse Practitioner
R104225
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F6200002
BCBS
—
Enumeration date
09/21/2006
Last updated
07/08/2007
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