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Contact Information

SHANNON FITZGERALD
718 SMYTH RD
MANCHESTER, NH03104-7007
 Phone: 603-624-4366
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Clinical Exercise Physiologist

224Y00000X
Indicates primary specialty

NPI Profile & details for SHANNON FITZGERALD · (Female)

NPI # 1104647247
Status Active
Credentials
Entity Individual
Enumeration date 10/22/2024
Last updated 10/22/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NH License # 077230-21
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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