Individual
NANCY J FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 W 7TH AVE, BIG TIMBER, MT 59011-7893
(406) 932-4911
Mailing address
PO BOX 1228, BIG TIMBER, MT 59011
(406) 932-4911
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
646
AK
363AM0700X
Medical Physician Assistant
Primary
314
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649224007
NPI #
MT
Enumeration date
05/20/2006
Last updated
04/22/2010
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