Fitzgerald, Star

Fitzgerald, Star is an individual health care provider with primary practice located at 500 W Fort St , Boise ID 83702-4501. He recently has only one registered license in Nursing Service Providers / General Practice, which is considered as his primary health care specialty. Fitzgerald, Star can be contacted via phone (208) 422-1000.

Contact Information

Primary practice address
500 W Fort St Boise ID 83702-4501
Phone: (208) 422-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 28002 Idaho

Profile Details

NPI number 1073205126
LBN Legal business name Fitzgerald, Star
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2023
Last updated May 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers