Fitzgerald, Deena Michelle

Fitzgerald, Deena Michelle is an individual health care provider with primary practice located at 3959 N. Steele Blvd. Suite 122, Fayetteville AR 72703. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Fitzgerald, Deena Michelle can be contacted via phone (479) 335-5777.

Contact Information

Primary practice address
3959 N. Steele Blvd. Suite 122 Fayetteville AR 72703
Phone: (479) 335-5777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X S002278 Arkansas

Profile Details

NPI number 1528489994
LBN Legal business name Fitzgerald, Deena Michelle
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2014
Last updated Jul 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528489994 NPPES
Oklahoma MEDICAID 200799670A
Oklahoma MEDICAID 218854758
Oklahoma MEDICAID 420060605

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