Individual
MS. KATHLEEN ELAINE FITZGERALD-PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, WHNP-BC
Contact information
Practice address
360 WILSON DR, XENIA, OH 45385-1810
(937) 374-5600
Mailing address
360 WILSON DR, XENIA, OH 45385-1810
(937) 374-5600
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
NP07736
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2776063
—
OH
Enumeration date
04/04/2007
Last updated
03/30/2017
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