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NPI Code Detail

MEDICARE: MISS GRACE FITZPATRICK FNP-C

MEDICARE: MISS GRACE FITZPATRICK FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerR207909MD

General Provider Information

NPI Number : 1245782010
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS GRACE FITZPATRICK FNP-C
Provider Business Mailing Address
First Line : 9710 PATUXENT WOODS DR
Second Line : SUITE 200
City : COLUMBIA
State : MD
Zip : 21046-1526
Country : US
Telephone Number : 301-575-8080
Fax Number :
Provider Business Practice Location Address
First Line : 9710 PATUXENT WOODS DR
Second Line : SUITE 200
City : COLUMBIA
State : MD
Zip : 21046-1526
Country : US
Telephone Number : 301-575-8080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2016
Last Update Date : 10/27/2016

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Directions to “ MISS GRACE FITZPATRICK FNP-C” Practice Location

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