Individual
ROSANNE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
700 S J ST, LAKE HEALTH CLINIC, LAKEVIEW, OR 97630-1623
(541) 947-8113
(541) 947-8109
Mailing address
700 S J ST, LAKE HEALTH CLINIC, LAKEVIEW, OR 97630-1623
(541) 947-8113
(541) 947-8109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250108NP
OR
363LF0000X
Family Nurse Practitioner
22114
CA
Other
Enumeration date
08/08/2012
Last updated
02/10/2021
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