Individual provider · Type 1 NPI

Rose Ciccariello Fagan, CNP

Nurse Practitioner · Dayton, OH

NPI number 1184896714 Active

Practice location

3640 Colonel Glenn Hwy, 051 Student Union
Dayton, OH 45435-0001

Fax (937) 775-3260

Mailing address

PO Box 750002
Centerville, OH 45475

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X0198739-22 (OH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1184896714

Rose Ciccariello Fagan, CNP's National Provider Identifier is 1184896714, issued on Mar 24, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dayton, OH. The record was last updated on Apr 1, 2009.