Provider Demographics
NPI:1750466744
Name:FRITZ, ELEANOR MARIE (APRN)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:MARIE
Last Name:FRITZ
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:PSCYHOLOGICAL HEALTH ASSOCIATES C/O ELEANOR FRITZ
Mailing Address - Street 2:701 COTTAGE GROVE ROAD SUITE C210
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2141
Mailing Address - Country:US
Mailing Address - Phone:860-233-9772
Mailing Address - Fax:860-236-9402
Practice Address - Street 1:701 COTTAGE GROVE RD STE C210
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-4207
Practice Address - Country:US
Practice Address - Phone:860-218-4315
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2023-05-30
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Provider Licenses
StateLicense IDTaxonomies
CT000539364SP0809X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult