PRESTON B FITZGERALD NPI 1407012636

NPI Information

  • NPI: 1407012636
  • Provider Name: PRESTON B FITZGERALD
  • Classification: Nurse Practitioner - 363L00000X
  • Entity Type: Individual
  • Address: 403 STONEY LANDING RD
    MONCKS CORNER, SC
    ZIP 29461
  • Phone: (843) 761-8282

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NPI Details

Preston B Fitzgerald is a nurse practitioner in Moncks Corner, SC. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. Preston B Fitzgerald NPI is 1407012636. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

403 STONEY LANDING RD
MONCKS CORNER, SC
ZIP 29461-967
Phone: (843) 761-8282

The enumeration date for this NPI number is 8/7/2008 and was last updated on 8/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner3347SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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