Individual provider · Type 1 NPI
Star Fitzgerald, RN
General Practice Registered Nurse · Boise, ID
NPI number
1073205126
Active
Practice location
500 W Fort St
Boise, ID 83702-4501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 28002 (ID) |
General Practice Registered Nurse: Definition to come...
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About NPI 1073205126
Star Fitzgerald, RN's National Provider Identifier is 1073205126, issued on May 25, 2023. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Boise, ID. The record was last updated on May 25, 2023.