Provider Demographics
NPI:1831458173
Name:FITZGERALD, JOSHUA BRANDON SHUMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:BRANDON SHUMAN
Last Name:FITZGERALD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1664 N VIRGINIA ST # MS 0354
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0001
Mailing Address - Country:US
Mailing Address - Phone:775-982-7800
Mailing Address - Fax:
Practice Address - Street 1:5190 NEIL RD STE 215
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-6509
Practice Address - Country:US
Practice Address - Phone:775-784-6388
Practice Address - Fax:775-327-5218
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV158972084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry