Laura A Fitzpatrick, NP

Individual provider Active NPI Nurse Practitioner · Sagamore Hills, OH

NPI 1295839355 · NPPES record last updated Nov 15, 2012

Key facts

NPI
1295839355
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
NP10002 (OH)
Practice address
7689 Sagamore Hills Blvd
Sagamore Hills, OH 44067-2960
Phone
(330) 467-8101
Fax
(330) 468-3948
NPI assigned
Sep 11, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP10002OHMDNurse Practitioner
333617NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Medical Associates, LLP Past Accepting new patients
University at Buffalo Pediatric Associates Inc Past
since Jan 1, 1998
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 333617 NY
Nurse Practitioner 363L00000X NP10002 OH Yes

Addresses

Primary practice location

7689 Sagamore Hills Blvd
Sagamore Hills, OH 44067-2960

Mailing address

7689 Sagamore Hills Blvd
Sagamore Hills, OH 44067-2960
Phone (330) 467-8101

Other providers in Sagamore Hills, OH

All providers in Sagamore Hills, OH · Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.