| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL CHARLES FITZGERALD | 1417688722 | 2022-06-19 |
Michael Charles Fitzgerald is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1417688722. Registration indicates Michael Charles Fitzgerald is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Michael Charles Fitzgerald RN,CNS |
| Practice Office Address | 203 BRACKNEY RD BEN LOMOND, CA US |
| Practice Office Telephone | 8318181934 |
| Mailing Address | 203 BRACKNEY RD BEN LOMOND, CA 950059702 US |
| Business Telephone | 8318181934 |
| Email [Info] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 403758
CA |