Individual provider · Type 1 NPI

Judith Fagen, NP

Nurse Practitioner · Mesa, AZ

NPI number 1194744755 Active

Practice location

570 W Brown Rd
Mesa, AZ 85201-3227

Mailing address

3255 E Elwood St, #110
Phoenix, AZ 85034-7256

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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 1194744755

Judith Fagen, NP's National Provider Identifier is 1194744755, issued on Jul 18, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mesa, AZ. The record was last updated on Jul 8, 2007.