Individual
MRS. DEENA MICHELLE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3959 N. STEELE BLVD., SUITE 122, FAYETTEVILLE, AR 72703
(479) 335-5777
Mailing address
3959 N. STEELE BLVD., SUITE 122, FAYETTEVILLE, AR 72703
(479) 335-5777
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
S002278
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200799670A
—
OK
05
—
218854758
—
AR
05
—
420060605
—
MO
Enumeration date
01/02/2014
Last updated
07/09/2021
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