Individual provider · Type 1 NPI
Kelly Marie Fitzgerald
Acute Care Nurse Practitioner · Cleveland, OH
NPI number
1104640929
Active
Practice location
9500 Euclid Ave
Cleveland, OH 44195-0001
Mailing address
10346 Independence Dr
North Royalton, OH 44133-3407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN.490426 (OH) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | APRN.CNP.0038641 (OH) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104640929
Kelly Marie Fitzgerald's National Provider Identifier is 1104640929, issued on Nov 8, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Cleveland, OH. The record was last updated on Mar 31, 2025.