Healthcare Provider Details

I. General information

NPI: 1093850083
Provider Name (Legal Business Name): PATRICIA ANN FRITZ RN,MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12033 AGENCY RD
PARKER AZ
85344-7718
US

IV. Provider business mailing address

2030 CHAPARRAL CIR UNIT 103
LAKE HAVASU CITY AZ
86403-2935
US

V. Phone/Fax

Practice location:
  • Phone: 928-669-3358
  • Fax: 928-669-3322
Mailing address:
  • Phone: 928-669-3358
  • Fax: 928-669-3322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN3317592
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN3317592
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: