MS. MARILYN E FITZGERALD (NPI# 1164454021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164454021 |
Entity Type | Individual |
Full Name | MS. MARILYN E FITZGERALD |
Other Name | MS. MARILYN E KLEIN |
Credential | CRNP |
Practice Address |
290 St. Charles Way York PA 17402 |
Mailing Address |
1803 Mount Rose Ave Suite B3 York PA 17403-3026 |
Practice Telephone | 7178515503 |
Practice Fax Number | 7178515978 |
Mailing Telephone | 7178511405 |
Mailing Fax Number | 7178516969 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2007-11-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
UP004276B | PA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | GATEWAY-WMG | 1551705 | 01 |
PA | AMERIHEALTH MERCY-WMG | 20027900 | 01 |
PA | CAPITAL BLUE CROSS-WMG | 50023730 | 01 |
MD | CAREFIRST MD BCBS | 621272 | 01 |
PA | JOHNS HOPKINS | 106216 | 01 |
PA | HIGHMARK BLUE SHIELD | 1933957 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912978347 | Marilyn Fitzgerald | Nurse Practitioner | 902 Edmond St, Suite 203, Saint Joseph, MO 64501-2702 | 2006-02-01 |
Street Address |
290 ST. CHARLES WAY |
City | YORK |
State | PA |
Zip Code | 17402 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
Find all providers in zip 17402 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063029957 | Desta Kebede | Nurse Practitioner | 3417 Concord Rd Ste C, York, PA 17402-9001 | 2020-09-25 |
1154945376 | William Joseph Thatcher | Nurse Practitioner | 3056 Mackenzi Ln Apt 3, York, PA 17408-9265 | 2020-06-03 |
1124661988 | Veronica Bunty | Nurse Practitioner | 1920 Queenswood Dr Ste 200, York, PA 17403-4269 | 2019-10-24 |
1407408107 | Olivia Christina Burrell | Nurse Practitioner | 1176 Whitehall Hill Rd, York, SC 29745-7780 | 2019-07-12 |
1417484577 | Oma Mae Riley-giomariso | Nurse Practitioner | 1045 Gleneagles Dr, York, PA 17404-1115 | 2017-05-18 |
1265972152 | Alex Kelly | Nurse Practitioner | 235 Saint Charles Way Ste 250, York, PA 17402-4662 | 2017-02-27 |
1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
1376905372 | Vanessa Lynn Millsaps | Nurse Practitioner | 1575 Bannister St Ste 7, York, PA 17404-4946 | 2016-03-28 |
1528436219 | Heidi Wilkerson | Nurse Practitioner | 2149 S Queen St, York, PA 17403-4845 | 2015-09-11 |
1225438054 | Timothy D Schrank | Nurse Practitioner | 605 S George St Ste 200, York, PA 17401-3161 | 2014-08-28 |
Find all providers in YORK |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.