NPI Profile for ELAINE C FITZGERALD in CHESTNUT HILL, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Pediatrics |
363LP0200X | 50 | Nurse Practitioner | |
Pediatrics |
163WP0200X | |||
Primary Care |
363LP2300X | 50 | Nurse Practitioner |
| NPI Number | 1710393640 |
|
| Status | Active | |
| Credentials | RN, CPNP-PC | |
| Entity | Individual | |
| Enumeration date | 07/11/2014 | |
| Last updated | 12/15/2025 - About 6 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ELAINE C FITZGERALD
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