Provider Demographics
NPI:1235856501
Name:FITZPATRICK, VERONICA ANN (RN)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:ANN
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 N STAPLEY DR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-1199
Mailing Address - Country:US
Mailing Address - Phone:602-881-7172
Mailing Address - Fax:
Practice Address - Street 1:2555 N STAPLEY DR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-1199
Practice Address - Country:US
Practice Address - Phone:480-472-5507
Practice Address - Fax:480-472-5480
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ148541163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool