Provider Demographics
NPI:1558116178
Name:FRITZ, MADDISON MARGARET MCGEE (MSN, RN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MADDISON
Middle Name:MARGARET MCGEE
Last Name:FRITZ
Suffix:
Gender:F
Credentials:MSN, RN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5030 E 33RD AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80207-1933
Mailing Address - Country:US
Mailing Address - Phone:970-209-5517
Mailing Address - Fax:
Practice Address - Street 1:714 KIMBARK ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-4950
Practice Address - Country:US
Practice Address - Phone:970-209-5517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1659971163W00000X
CO0999425-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse