Individual provider · Type 1 NPI

Maureen Bernadette Fagan, RNP/MS

Obstetrics & Gynecology Nurse Practitioner · Boston, MA

NPI number 1912234972 Active

Practice location

75 Francis St
Boston, MA 02115-6110

Call (617) 732-4215 Map

Fax (617) 975-0825

Mailing address

3 Candlestick Ln
Framingham, MA 01702-5537

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	158764 (MA)
Obstetrics & Gynecology Nurse Practitioner Primary	363LX0001X	158764 (MA)

Obstetrics & Gynecology Nurse Practitioner: Definition to come...

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About NPI 1912234972

Maureen Bernadette Fagan, RNP/MS's National Provider Identifier is 1912234972, issued on Nov 12, 2009. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Boston, MA. The record was last updated on Nov 12, 2009.