Fitzgerald, Marilyn

Fitzgerald, Marilyn is an individual health care provider with primary practice located at 902 Edmond St Suite 203, Saint Joseph MO 64501-2702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fitzgerald, Marilyn can be contacted via phone (816) 364-4300.

Contact Information

Primary practice address
902 Edmond St Suite 203 Saint Joseph MO 64501-2702
Phone: (816) 364-4300
Fax: (816) 279-8148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN089198 Missouri

Profile Details

NPI number 1912978347
LBN Legal business name Fitzgerald, Marilyn
Credentials RN, CS, AP/MHCNS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2006
Last updated Apr 6th, 2011 - about 14 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 1912978347 NPPES
Missouri MEDICAID 428517908

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