Individual
KASSANDA MARIE FITZMAURICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11343 W TOWNLEY AVE, PEORIA, AZ 85345-3408
(865) 403-9203
Mailing address
11343 W TOWNLEY AVE, PEORIA, AZ 85345-3408
(865) 403-9203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP8199
AZ
Other
Enumeration date
10/08/2015
Last updated
09/18/2025
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