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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICKOLAS DESOUSA FITZGERALD, CCHW

Active

NICKOLAS DESOUSA FITZGERALD, CCHW is a Community Health Worker healthcare provider located in HOPE VALLEY, Rhode Island. NPI 1114719515 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · HOPE VALLEY, RI

Registration Details

NPI Number
1114719515
Provider Type
Individual
Gender
Male
NPI Issued
May 21, 2025 (1.1983209725571 yrs)
Last Updated
May 23, 2025
License
200840 (RI)

Practice Information

Address
823 MAIN ST
HOPE VALLEY, RI, 028321920
Browse RI providers · Browse ZIP 02832
Phone
4015392461
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in HOPE VALLEY, RI

Name Credential NPI
MS. KRISTEN LEE KANDZERSKI LMT 1114463494
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.