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Contact Information

NAN I FITZ GERALD, RN CDE
1040 NW 22ND AVE STE 540
PORTLAND, OR97210-3097
 Phone: 503-413-6077
 Fax: 503-413-6888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for NAN I FITZ GERALD · (Female)

NPI Number 1619481744
Status Active
Credentials RN CDE
Entity Individual
Enumeration date 11/28/2017
Last updated 11/28/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 087006811RN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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