Provider Demographics
NPI:1659893683
Name:FITZGERALD, ANDREA L (APRN)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:L
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:BLAIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19 FARRINGTON CORNER RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:NH
Mailing Address - Zip Code:03229-2020
Mailing Address - Country:US
Mailing Address - Phone:603-228-7575
Mailing Address - Fax:603-228-7585
Practice Address - Street 1:19 FARRINGTON CORNER RD
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:NH
Practice Address - Zip Code:03229-2020
Practice Address - Country:US
Practice Address - Phone:603-228-7575
Practice Address - Fax:603-228-7585
Is Sole Proprietor?:No
Enumeration Date:2017-07-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH053249-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily