DR. KATHLEEN ANNE FAGAN DNSC RN BC APN NPI 1386974517

NPI Information

NPI: 1386974517
Provider Name: DR. KATHLEEN ANNE FAGAN, DNSC, RN, BC, APN
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
241 MOORE ST
HACKENSACK, NJ
ZIP 07601
Phone: (201) 342-2478
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DR. Kathleen Anne Fagan, DNSC, RN, BC, APN is a women's health nurse practitioner in Hackensack, NJ. DR. Kathleen Anne Fagan, DNSC, RN, BC, APN NPI is 1386974517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

241 MOORE ST
HACKENSACK, NJ
ZIP 07601-533
Phone: (201) 342-2478

The enumeration date for this NPI number is 1/11/2010 and was last updated on 1/11/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	26NN09492700	NEW JERSEY	No
2	363LW0102X	Nurse Practitioner	Women's Health	26NN09492700	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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