Individual
DIANA LYNN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNM
Contact information
Practice address
675 S MAIN ST, CHESHIRE, CT 06410-3153
(203) 272-1811
Mailing address
675 S MAIN ST, CHESHIRE, CT 06410-3153
(203) 272-1811
(315) 363-9382
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
483641-1
NY
176B00000X
Midwife
Primary
000518
CT
363L00000X
Nurse Practitioner
420822
NY
367A00000X
Advanced Practice Midwife
28-001237
NY
367A00000X
Advanced Practice Midwife
F001237
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02806357
—
NY
Enumeration date
08/07/2006
Last updated
08/08/2023
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