IndividualActive
Star Fitzgerald, RN
NPI 1073205126 · General Practice Registered Nurse · Boise, ID
Provider details
- NPI number
- 1073205126
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- 28002 (ID)
Mailing address
500 W Fort St
Boise, ID 83702-4501
Registry dates
- Enumerated
- 2023-05-25
- Last updated
- 2023-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.