Individual
INGRID MCKENZIE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
801 SPRUCE ST, PHILADELPHIA, PA 19107-5701
(215) 829-6700
Mailing address
1040 EDGERTON RD, SECANE, PA 19018-2906
(610) 931-1742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP022963
PA
Other
Enumeration date
10/27/2021
Last updated
04/05/2022
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