Individual provider · Type 1 NPI

Tara T.s. Fagan, APRN

Family Nurse Practitioner · Westbrook, CT

NPI number 1114205473 Active

Practice location

250 Flat Rock Pl
Westbrook, CT 06498-1565

Mailing address

7 Partridge Hollow Rd
Killingworth, CT 06419-1025

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4711 (CT)

Family Nurse Practitioner: Definition to come...

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About NPI 1114205473

Tara T.s. Fagan, APRN's National Provider Identifier is 1114205473, issued on Aug 3, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Westbrook, CT. The record was last updated on Mar 2, 2017.