Provider Demographics
NPI:1518077783
Name:FITZPATRICK, MAUREEN ASHE (MSN, ARNP)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:ASHE
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:MSN, ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4325 SW 60TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-5231
Mailing Address - Country:US
Mailing Address - Phone:305-439-2924
Mailing Address - Fax:
Practice Address - Street 1:726 CRANDON BLVD
Practice Address - Street 2:MINUTE CLINIC
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-2506
Practice Address - Country:US
Practice Address - Phone:305-439-2924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL85384-2363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAD126ZMedicare UPIN