Individual
AMANDA LYNN FITZSIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7659 PAGE RD, PERRY, NY 14530-9720
(585) 245-3345
Mailing address
7659 PAGE RD, PERRY, NY 14530-9720
(585) 245-3345
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
690278
NY
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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