1952501751 NPI number — MARGARET R FITZGERALD ANP

Table of content: MARGARET R FITZGERALD ANP (NPI 1952501751)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952501751 NPI number — MARGARET R FITZGERALD ANP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FITZGERALD
Provider First Name:
MARGARET
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ANP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1952501751
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/17/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
141 CORLISS LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLEBROOK
Provider Business Mailing Address State Name:
NH
Provider Business Mailing Address Postal Code:
03576-3206
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
603-237-8336
Provider Business Mailing Address Fax Number:
603-237-4467

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
141 CORLISS LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COLEBROOK
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03576-3206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-237-8336
Provider Business Practice Location Address Fax Number:
603-237-4467
Provider Enumeration Date:
07/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  033914-23 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 21293 . This is a "REGISTER NURSE LICENSE" identifier , issued by the state of ( AK ) . This identifiers is of the category "OTHER".
  • Identifier: 033914-23 . This is a "LICENSE - RN" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 033914-21 . This is a "LICENSE - APRN" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".
  • Identifier: 101.0132915 . This is a "LICENSE - APRN" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: 026.0132717 . This is a "LICENSE - RN" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: 320 . This is a "STATE LICENSE NUMBER" identifier , issued by the state of ( AK ) . This identifiers is of the category "OTHER".




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