Individual
LISA ELIZABETH FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8201 EWING HALSELL DR, SAN ANTONIO, TX 78229-3707
(210) 575-4837
(210) 575-8480
Mailing address
8201 EWING HALSELL DR, SAN ANTONIO, TX 78229-3707
(210) 575-4837
(210) 575-8480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP138521
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
AP138521
TX
363LF0000X
Family Nurse Practitioner
AP138521
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388606101
—
TX
01
—
388606102
CSHCN
TX
Enumeration date
08/19/2018
Last updated
06/28/2023
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