MEDICARE: MARCY ANTOINETTE FITZGERALD APRN, NP-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
1	363LF0000X	Family Nurse Practitioner	APRN.CNP.15698	OH
2	363LA2200X	Adult Health Nurse Practitioner	15698	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508366485
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCY ANTOINETTE FITZGERALD APRN, NP-C

Provider Business Mailing Address
First Line	:	PO BOX 43543
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45243-0543
Country	:	US
Telephone Number	:	513-376-3493
Fax Number	:

Provider Business Practice Location Address
First Line	:	1411 COMPTON RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231
Country	:	US
Telephone Number	:	513-522-7500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2018
Last Update Date	:	06/05/2026

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