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NPI Code Detail

MEDICARE: ELAINE MARIE FITZPATRICK NP

MEDICARE: ELAINE MARIE FITZPATRICK NP
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 Practitioner4704170791MI

General Provider Information

NPI Number : 1689887481
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELAINE MARIE FITZPATRICK NP
Provider Business Mailing Address
First Line : 645 BARCLAY CIR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5804
Country : US
Telephone Number : 248-844-1010
Fax Number : 248-844-9089
Provider Business Practice Location Address
First Line : 645 BARCLAY CIR
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5804
Country : US
Telephone Number : 248-844-1010
Fax Number : 248-844-9089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 07/08/2007

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Directions to “ ELAINE MARIE FITZPATRICK NP” Practice Location

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