Fitzgerald, Gretchen Parker

Fitzgerald, Gretchen Parker is an individual health care provider with primary practice located at 2166 S 12Th St , Allentown PA 18103-8701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fitzgerald, Gretchen Parker can be contacted via phone (610) 969-0488.

Contact Information

Primary practice address
2166 S 12Th St Allentown PA 18103-8701
Phone: (610) 969-0488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP006328C Pennsylvania

Profile Details

NPI number 1871549162
LBN Legal business name Fitzgerald, Gretchen Parker
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Dec 18th, 2015 - about 9 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 1871549162 NPPES
Pennsylvania Other 1420024 KEYSTONE CENTRAL
Pennsylvania Other P00235279 KEYSTONE CENTRAL
Pennsylvania Other 50045336 KEYSTONE CENTRAL

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