Individual provider · Type 1 NPI

Crystal Renee' Fitzgerald

Licensed Practical Nurse · St. Louis, MO

NPI number 1477794634 Active

Practice location

1785 San Ricardo Dr Apt 6
St. Louis, MO 63138-1940

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2003006979 (MO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1477794634

Crystal Renee' Fitzgerald's National Provider Identifier is 1477794634, issued on Mar 18, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Louis, MO. The record was last updated on Mar 18, 2009.