Provider Demographics
NPI:1952501751
Name:FITZGERALD, MARGARET R (ANP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:R
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 CORLISS LN
Mailing Address - Street 2:
Mailing Address - City:COLEBROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03576-3206
Mailing Address - Country:US
Mailing Address - Phone:603-237-8336
Mailing Address - Fax:603-237-4467
Practice Address - Street 1:141 CORLISS LN
Practice Address - Street 2:
Practice Address - City:COLEBROOK
Practice Address - State:NH
Practice Address - Zip Code:03576-3206
Practice Address - Country:US
Practice Address - Phone:603-237-8336
Practice Address - Fax:603-237-4467
Is Sole Proprietor?:No
Enumeration Date:2007-07-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH033914-23363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK21293OtherREGISTER NURSE LICENSE
NH033914-23OtherLICENSE - RN
NH033914-21OtherLICENSE - APRN
VT101.0132915OtherLICENSE - APRN
VT026.0132717OtherLICENSE - RN
AK320OtherSTATE LICENSE NUMBER