Healthcare Provider Details

I. General information

NPI: 1508196239
Provider Name (Legal Business Name): VALERIE JEAN FITZPATRICK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/31/2009
Last Update Date: 12/31/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2485 MORTON DRIVE
NORTH ROBINSON OH
44856-0067
US

IV. Provider business mailing address

PO BOX 67
NORTH ROBINSON OH
44856-0067
US

V. Phone/Fax

Practice location:
  • Phone: 419-569-7223
  • Fax: 419-562-5794
Mailing address:
  • Phone: 419-569-7223
  • Fax: 419-562-5794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberRN.290554
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: