Individual
DR. NICOLE ANNE FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4520 DOUGLAS AVE, DES MOINES, IA 50310-2710
(515) 276-2263
(515) 251-2969
Mailing address
4520 DOUGLAS AVE, DES MOINES, IA 50310-2710
(515) 276-2263
(515) 251-2969
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06770
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0466979
—
IA
01
—
38636
WELLMARK BCBS PROVIDER ID
IA
Enumeration date
04/04/2007
Last updated
07/08/2007
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