Individual
ELAINE CHAN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-PC
Contact information
Practice address
25 BOYLSTON ST, SUITE 112, CHESTNUT HILL, MA 02467-1715
(617) 244-6000
(617) 232-9376
Mailing address
25 BOYLSTON ST STE 112, CHESTNUT HILL, MA 02467-1710
(617) 244-6000
(617) 232-9376
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2297449
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2297449
MA
363LP2300X
Primary Care Nurse Practitioner
RN2297449
MA
Other
Enumeration date
07/11/2014
Last updated
12/15/2025
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