| Fitzgerald Primary Care Llc | |
|
1301 York Rd Ste 800 Lutherville MD 21093-6011 | |
| (844) 481-0217 | |
| Not Available |
| Full Name | Fitzgerald Primary Care Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1301 York Rd Ste 800, Lutherville, Maryland |
| Authorized Official Name and Position | Tarnisha Latasha Fitzgerald (OWNER) |
| Authorized Official Contact | 4437637154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fitzgerald Primary Care Llc 1301 York Rd Ste 800 Lutherville MD 21093-6011 Ph: (844) 481-0217 | Fitzgerald Primary Care Llc 1301 York Rd Ste 800 Lutherville MD 21093-6011 Ph: (844) 481-0217 |
| NPI Number | 1033802848 |
|---|---|
| Provider Enumeration Date | 05/29/2023 |
| Last Update Date | 03/29/2024 |
| Certification Date | 03/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033802848 | NPI | - | NPPES |
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