Individual
CRYSTAL J FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 BAY AVE, MOUNTAINSIDE HOSPITAL, MONTCLAIR, NJ 07042-4837
(888) 247-1400
(973) 290-7585
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
26NJ000006800
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00006800
NJ
Other
Enumeration date
11/01/2006
Last updated
04/03/2009
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