Fitzgerald, Diana Lynn

Fitzgerald, Diana Lynn is an individual health care provider with primary practice located at 675 S Main St , Cheshire CT 06410-3153. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Fitzgerald, Diana Lynn can be contacted via phone (203) 272-1811.

Contact Information

Primary practice address
675 S Main St Cheshire CT 06410-3153
Phone: (203) 272-1811
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 483641-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 420822 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 28-001237 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F001237 New York
Other Service Providers / Midwife 176B00000X 000518 Connecticut

Profile Details

NPI number 1912916792
LBN Legal business name Fitzgerald, Diana Lynn
Credentials NP, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Aug 8th, 2023 - about 2 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 1912916792 NPPES
New York MEDICAID 02806357

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