Provider Demographics
NPI:1033578372
Name:FITZPATRICK, AMY ELIZABETH (ND)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:ELIZABETH
Last Name:FITZPATRICK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 BROADWAY STE A
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-1719
Mailing Address - Country:US
Mailing Address - Phone:831-277-1225
Mailing Address - Fax:425-800-0271
Practice Address - Street 1:1415 BROADWAY STE A
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-1719
Practice Address - Country:US
Practice Address - Phone:831-277-1225
Practice Address - Fax:425-800-0271
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND658175F00000X
WANT60651434175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath