Individual
GRETCHEN PARKER FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2166 S 12TH ST, ALLENTOWN, PA 18103-8701
(610) 969-0488
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP006328C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1420024
KEYSTONE CENTRAL
PA
01
—
50045336
CAPITAL BLUE CROSS
PA
01
—
P00235279
RAILROAD MEDICARE
PA
Enumeration date
05/26/2006
Last updated
12/18/2015
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