Fagen, Judith

Fagen, Judith is an individual health care provider with primary practice located at 570 W Brown Rd , Mesa AZ 85201-3227. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fagen, Judith can be contacted via phone (480) 344-2007.

Contact Information

Primary practice address
570 W Brown Rd Mesa AZ 85201-3227
Phone: (480) 344-2007
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Arizona

Profile Details

NPI number 1194744755
LBN Legal business name Fagen, Judith
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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