Individual
MS. SHANNON MARIE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-4650
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105
(206) 987-4650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30002531
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7093699, ID #9608936
—
WA
Enumeration date
10/26/2005
Last updated
06/19/2012
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