Provider Demographics
NPI:1477351583
Name:FITZGERALD, LAURA (PPD)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:FITZGERALD
Suffix:
Gender:F
Credentials:PPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-2133
Mailing Address - Country:US
Mailing Address - Phone:908-910-9862
Mailing Address - Fax:
Practice Address - Street 1:435 MILLER AVE
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-2133
Practice Address - Country:US
Practice Address - Phone:908-910-9862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula