Individual
MICHELLE D FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
149 NORTH ST, MGHA HOSPITALIST PROGRAM-WTVL, WATERVILLE, ME 04901
(207) 872-1000
Mailing address
149 NORTH ST, MGHA HOSPITALIST PROGRAM-WTVL, WATERVILLE, ME 04901
(207) 872-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP81416
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240130099
—
ME
Enumeration date
03/01/2006
Last updated
06/13/2014
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