Anne Marie Fitzgerald

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Midway, UT

NPI 1821546441 · NPPES record last updated Sep 12, 2016

Key facts

NPI
1821546441
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
783 Double Eagle Dr
Midway, UT 84049-6616
Phone
(435) 654-8688
NPI assigned
Sep 12, 2016
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

783 Double Eagle Dr
Midway, UT 84049-6616

Mailing address

783 Double Eagle Dr
Midway, UT 84049-6616
Phone (435) 654-8688

Other providers in Midway, UT

All providers in Midway, UT · Student in an Organized Health Care Education/Training Program in Utah

Sources for this page

Verify at the official NPI Registry.