Ingrid Mckenzie Fitzgerald, CRNP | |
801 Spruce St, Philadelphia, PA 19107-5701 | |
(215) 829-6700 | |
Not Available |
Full Name | Ingrid Mckenzie Fitzgerald |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 801 Spruce St, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558025494 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | SP022963 (Pennsylvania) | Primary |
Entity Name | University Of Penn-medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Mailing Address | Practice Location Address |
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Ingrid Mckenzie Fitzgerald, CRNP 1040 Edgerton Rd, Secane, PA 19018-2906 Ph: (610) 931-1742 | Ingrid Mckenzie Fitzgerald, CRNP 801 Spruce St, Philadelphia, PA 19107-5701 Ph: (215) 829-6700 |
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