Individual
MICHAEL FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
111 RAILROAD AVE, MANCOS, CO 81328-9329
(970) 533-9125
Mailing address
111 RAILROAD AVE, MANCOS, CO 81328-9329
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
93584
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91333202
—
CO
01
—
P00180324
RAILROAD MEDICARE
CO
Enumeration date
01/24/2006
Last updated
06/29/2023
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