Crystal Renee' Fitzgerald

Licensed Practical Nurse · Saint Louis, MO

Individual Active NPI

NPI number 1477794634

Practice location

1785 San Ricardo Dr Apt 6
Saint Louis, MO 63138-1940
Phone
(314) 477-0623

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NPI record

NPI
1477794634
Entity type
Individual (Type 1)
Enumeration date
March 18, 2009
Last updated
March 18, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary 164W00000X 2003006979 MO

About Crystal Fitzgerald

Crystal Renee' Fitzgerald is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 1785 San Ricardo Dr Apt 6, Saint Louis, MO 63138-1940. The NPI number 1477794634 was assigned on March 18, 2009 and the record was last updated on March 18, 2009.

Crystal Fitzgerald lists a license in the registry: #2003006979 (MO) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Crystal Renee' Fitzgerald?

The NPI number is 1477794634.

What is the phone number of Crystal Fitzgerald?

The phone number listed for the practice location is (314) 477-0623.

Where is Crystal Fitzgerald located?

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

What is the taxonomy code for Crystal Fitzgerald?

The primary taxonomy code is 164W00000X – Licensed Practical Nurse.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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