Individual
MRS. ELLEN M FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
152 LONGWATER DR, HANOVER, MA 02339-1867
(781) 635-6479
Mailing address
152 LONGWATER DR, HANOVER, MA 02339-1867
(781) 635-6479
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
258746
MA
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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