Judith Fagen in Phoenix - Nurse Practitioner

Judith Fagen - NPI 1194744755

Judith Fagen is a Nurse Practitioner in Phoenix, Arizona. Judith Fagen practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Judith Fagen is 1194744755. The last update date is 2007-07-08.

Judith Fagen's current location address is 3255 E Elwood St, Phoenix, Arizona. You can contact this provider via phone number 6024705043 and fax number 6024705064. The mailing address for Judith Fagen is 3255 E Elwood St, Phoenix, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith Fagen
Address 3255 E Elwood St, Phoenix, Arizona
Phone Number 6024705043
Fax Number 6024705064
Sole Proprietor N
Credentials NP

NPI Number Detail

NPI Number 1194744755
Provider Enumeration Date 2006-07-18
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3255 E Elwood St
City Phoenix
State Arizona (AZ)
Post Code 850347256
Phone Number 6024705043
Fax Number 6024705064

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Definition:
(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 certifi

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FAQs about Judith Fagen

What is the Judith Fagen's 1194744755?

The Judith Fagen's NPI (National Provider Identifier) Number is 1194744755. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Judith Fagen is geographically located?

The Judith Fagen is physically situated at the following location: 3255 E Elwood St, Phoenix, AZ, 850347256.

What is the Judith Fagen's area of specialization and corresponding taxonomy classification?

The Judith Fagen's specialty field is Nurse Practitioner, and it falls under the taxonomy code 363L00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1194744755 to Judith Fagen?

The Judith Fagen received its 1194744755 assignment from the Centers for Medicare & Medicaid Services on 2006-07-18.

As of what date was the information regarding Judith Fagen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Judith Fagen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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