Provider Demographics
NPI:1811140999
Name:FITZGERALD, ERIN (ND)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5316 E CAMBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-1719
Mailing Address - Country:US
Mailing Address - Phone:480-776-9763
Mailing Address - Fax:480-970-0003
Practice Address - Street 1:5316 E CAMBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-1719
Practice Address - Country:US
Practice Address - Phone:480-776-9763
Practice Address - Fax:480-970-0003
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ08-1075208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice