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NPI Code Detail

MEDICARE: LINDA M. FITZPATRICK ANP-BC

MEDICARE:   LINDA M. FITZPATRICK  ANP-BC
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
1363L00000XNurse Practitioner107824MA

Other Identifiers

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

General Provider Information

NPI Number : 1235106303
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA M. FITZPATRICK ANP-BC
Provider Business Mailing Address
First Line : 200 MILL RD
Second Line : SUITE 180
City : FAIRHAVEN
State : MA
Zip : 02719-5252
Country : US
Telephone Number : 508-973-2000
Fax Number : 508-973-2001
Provider Business Practice Location Address
First Line : 368 FAUNCE CORNER ROAD
Second Line :
City : NORTH DARTMOUTH
State : MA
Zip : 02747-1271
Country : US
Telephone Number : 508-985-5014
Fax Number : 508-985-5045
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 04/23/2014

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