Individual
MS. SHAWNTA FITZPATRICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
6144 OXON HILL RD, OXON HILL, MD 20745-3107
(301) 839-1600
(301) 749-0027
Mailing address
712 OGLETHORPE ST NE, WASHINGTON, DC 20011-2735
(301) 839-1600
(301) 749-0027
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110001741
VA
363A00000X
Physician Assistant
Primary
C0002574
MD
363A00000X
Physician Assistant
PA030272
DC
Other
Enumeration date
06/20/2005
Last updated
07/08/2007
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