Fitzgerald, Michelle D

Fitzgerald, Michelle D is an individual health care provider with primary practice located at 149 North St Mgha Hospitalist Program-Wtvl, Waterville ME 04901. 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, Michelle D can be contacted via phone (207) 872-1000.

Contact Information

Primary practice address
149 North St Mgha Hospitalist Program-Wtvl Waterville ME 04901
Phone: (207) 872-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP81416 Maine

Profile Details

NPI number 1861469736
LBN Legal business name Fitzgerald, Michelle D
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Jun 13th, 2014 - about 10 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 1861469736 NPPES
Maine MEDICAID 240130099

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