Individual provider · Type 1 NPI
Ellen Catherine Fagan-Pryor, MSN, PMHCNS, RN
Adult Psychiatric/Mental Health Registered Nurse · Fort Wayne, IN
NPI number
1508961236
Active
Practice location
2121 Lake Avene
Fort Wayne, IN 46805-5100
Mailing address
8818 Hoffman Rd
Fort Wayne, IN 46816-9595
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 28101257A (IN) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1508961236
Ellen Catherine Fagan-Pryor, MSN, PMHCNS, RN's National Provider Identifier is 1508961236, issued on Sep 14, 2006. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Fort Wayne, IN. The record was last updated on Mar 27, 2013.