Individual
MRS. COLETTE JEAN FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
518 WATER AVE, HILLSBORO, WI 54634-9049
(608) 489-3473
Mailing address
518 WATER AVE, PO BOX 175, HILLSBORO, WI 54634-9049
(608) 489-3473
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
64121-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
64121-030
WI
Other
Enumeration date
08/01/2006
Last updated
12/13/2007
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