Provider Demographics
NPI:1194272930
Name:FITZPATRICK, EMILY C (NP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:C
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 N CENTER POINT RD STE C
Mailing Address - Street 2:
Mailing Address - City:HIAWATHA
Mailing Address - State:IA
Mailing Address - Zip Code:52233-1237
Mailing Address - Country:US
Mailing Address - Phone:319-362-0200
Mailing Address - Fax:319-375-6199
Practice Address - Street 1:1001 N CENTER POINT RD STE C
Practice Address - Street 2:
Practice Address - City:HIAWATHA
Practice Address - State:IA
Practice Address - Zip Code:52233-1237
Practice Address - Country:US
Practice Address - Phone:319-362-0200
Practice Address - Fax:319-375-6199
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA145820363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily