Fitzgerald, Marilyn E

Fitzgerald, Marilyn E is an individual health care provider with primary practice located at 290 St. Charles Way , York PA 17402. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fitzgerald, Marilyn E can be contacted via phone (717) 851-5503.

Contact Information

Primary practice address
290 St. Charles Way York PA 17402
Fax: (717) 851-5978
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X UP004276B Pennsylvania

Profile Details

NPI number 1164454021
LBN Legal business name Fitzgerald, Marilyn E
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Nov 15th, 2007 - about 18 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 1164454021 NPPES
Pennsylvania Other 1551705 GATEWAY-WMG
Pennsylvania Other 621272 GATEWAY-WMG
Pennsylvania Other 106216 GATEWAY-WMG
Pennsylvania Other 20027900 GATEWAY-WMG
Pennsylvania Other 1933957 GATEWAY-WMG
Pennsylvania Other 50023730 GATEWAY-WMG

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