Individual provider · Type 1 NPI

Colby Bray Fagan, NP

Pediatric Nurse Practitioner · Boston, MA

NPI number 1710649835 Active

Practice location

354 Tremont St
Boston, MA 02116-5538

Fax (617) 426-9201

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN2325154 (MA)

Pediatric Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1710649835

Colby Bray Fagan, NP's National Provider Identifier is 1710649835, issued on Oct 6, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Boston, MA. The record was last updated on Oct 6, 2021.