Individual provider · Type 1 NPI
Kathleen Anne Fagan, DNSC, RN, BC, APN
Women's Health Nurse Practitioner · Hackensack, NJ
NPI number
1386974517
Active
Practice location
241 Moore St
Hackensack, NJ 07601-7533
Mailing address
188 Deerfield Ter
Mahwah, NJ 07430-2853
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | 26NN09492700 (NJ) |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 26NN09492700 (NJ) |
Women's Health Nurse Practitioner: Definition to come...
Other women's health nurse practitioner providers in Hackensack
About NPI 1386974517
Kathleen Anne Fagan, DNSC, RN, BC, APN's National Provider Identifier is 1386974517, issued on Jan 11, 2010. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Hackensack, NJ. The record was last updated on Jan 11, 2010.