Individual
MRS. MARISELA LIZZETTE FITZGIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-A, CRNA
Contact information
Practice address
6039 PROSPECT AVE, DALLAS, TX 75206-7243
(214) 476-2581
Mailing address
6039 PROSPECT AVE, DALLAS, TX 75206-7243
(214) 476-2581
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1065174
TX
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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