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MR. LARRY SCOTT FITZGERALD RN
NPI 1427660596
Registered Nurse - Addiction (Substance Use Disorder) in Canton, MI

Active since August 20, 2020
43825 MICHIGAN AVE STE 1, CANTON, MI 48188(734) 331-3088 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Larry Scott Fitzgerald Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. LARRY SCOTT FITZGERALD RN (NPI 1427660596) is an individual addiction (substance use disorder) provider in Canton, Michigan, licensed in Michigan (4724201358) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1427660596
Entity TypeIndividualMale
Primary Taxonomy163WA0400X
Provider Legal NameMR. LARRY SCOTT FITZGERALDCredential: RN
Location Address43825 MICHIGAN AVE STE 1Canton, MI 48188-2551
Mailing Address37450 Schoolcraft Rd Ste 110Livonia, MI 48150-1000
Phone(734) 331-3088
Sole ProprietorNo
Enumeration DateAugust 20, 2020
NPPES CertifiedAugust 20, 2020
✔ NPI 1427660596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in MI · 4724201358
43825 MICHIGAN AVE STE 1, Canton, MI 48188
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTY JOY ANDERSON
Licensed Practical Nurse
43825 MICHIGAN AVE STE 1
CANTON, MI 48188
Wayne County (734) 937-3088
SCOTT HERRON
Counselor (Mental Health)
43825 MICHIGAN AVE STE 1
CANTON, MI 48188
Wayne County (734) 397-0078
MASHAE LANETTE BRYANT-ABNER
Counselor (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE STE 1
CANTON, MI 48188
Wayne County (734) 397-3088
YVONNE WALKER
Licensed Practical Nurse
43825 MICHIGAN AVE STE 1
CANTON, MI 48188
Wayne County (734) 397-3088
AMBER M DILLON LMSW, LCSW
Social Worker (Clinical)
43825 MICHIGAN AVE STE 1
CANTON, MI 48188
Wayne County (734) 397-3088
YASMINE GHASSANI
Counselor (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE STE 1
CANTON, MI 48188
Wayne County (734) 397-3088
ANNETTE CORRADI
Counselor
43825 MICHIGAN AVE STE 1
CANTON, MI 48188
Wayne County (734) 397-3088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Fitzgerald's NPI number?

The NPI number for Larry Fitzgerald is 1427660596. It was assigned to this individual provider in the NPPES registry on August 20, 2020.

Where is Larry Fitzgerald located?

Larry Fitzgerald practices at 43825 Michigan Ave Ste 1, Canton, MI 48188. The listed phone number is (734) 331-3088.

What is Larry Fitzgerald's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Addiction (Substance Use Disorder), with taxonomy code 163WA0400X.

When was this NPI record last updated?

The NPPES record for Larry Fitzgerald was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.