Provider Demographics
NPI:1871554188
Name:FITZPATRICK, ROSALYN (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:ROSALYN
Middle Name:
Last Name:FITZPATRICK
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:120 LEMAY STEPHENS RD
Mailing Address - Street 2:
Mailing Address - City:LEESVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71446-7092
Mailing Address - Country:US
Mailing Address - Phone:337-392-6119
Mailing Address - Fax:
Practice Address - Street 1:1585 3RD ST
Practice Address - Street 2:BAYNE JONES ARMY COMMUNITY HOSPITAL
Practice Address - City:FORT POLK
Practice Address - State:LA
Practice Address - Zip Code:71459-5102
Practice Address - Country:US
Practice Address - Phone:337-531-6288
Practice Address - Fax:337-653-3594
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant