Individual
KIM L FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-NP
Contact information
Practice address
150 MERRIMAC ST, NEWBURYPORT, MA 01950-2357
(617) 283-8581
(603) 737-5947
Mailing address
150 MERRIMAC ST, NEWBURYPORT, MA 01950-0379
(617) 283-8581
(603) 737-5947
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
211761
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312294
—
MA
Enumeration date
01/08/2007
Last updated
02/22/2012
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