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
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 2003006979 (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.