NPI 1114719515

Nickolas Desousa Fitzgerald, CCHW

Practitioner Community Health Worker Hope Valley, RI

Practice location

Address: 823 Main St, Hope Valley, RI 02832-1920
Phone: (401) 539-2461
Mailing address: 23 Spencer Dr, Westerly, RI 02891-1289

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence 200840 (RI)

Other Community Health Worker providers in Rhode Island →

Registry record

NPI: 1114719515
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2025
Record last updated: 23 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.