Provider Demographics
NPI:1508196239
Name:FITZPATRICK, VALERIE JEAN (RN)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:JEAN
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:PO BOX 67
Mailing Address - Street 2:
Mailing Address - City:NORTH ROBINSON
Mailing Address - State:OH
Mailing Address - Zip Code:44856-0067
Mailing Address - Country:US
Mailing Address - Phone:419-569-7223
Mailing Address - Fax:419-562-5794
Practice Address - Street 1:2485 MORTON DRIVE
Practice Address - Street 2:
Practice Address - City:NORTH ROBINSON
Practice Address - State:OH
Practice Address - Zip Code:44856-0067
Practice Address - Country:US
Practice Address - Phone:419-569-7223
Practice Address - Fax:419-562-5794
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-31
Last Update Date:2009-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.290554163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health