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NPI Code Detail

MEDICARE: SHAWNNA MARIA FITZWATER MSN, APRN, FNP-C

MEDICARE: SHAWNNA MARIA FITZWATER MSN, APRN, FNP-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
1163W00000XRegistered Nurse341372OH
2363LF0000XFamily Nurse Practitioner18092OH
3363LF0000XFamily Nurse PractitionerAPRN002711NV

General Provider Information

NPI Number : 1962715946
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWNNA MARIA FITZWATER MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 2722 N GREEN VALLEY PKWY
Second Line : UNIT 50186
City : HENDERSON
State : NV
Zip : 89014-7127
Country : US
Telephone Number : 725-250-1188
Fax Number : 725-251-5211
Provider Business Practice Location Address
First Line : 2722 N GREEN VALLEY PARKWAY
Second Line : UNIT 50186
City : HENDERSON
State : NV
Zip : 89014-8901
Country : US
Telephone Number : 725-250-1188
Fax Number : 725-251-5211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2010
Last Update Date : 01/10/2023

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