MISS CAROL DIANE FAGUE RPA-C NPI 1851528798

NPI Information

NPI: 1851528798
Provider Name: MISS CAROL DIANE FAGUE, RPA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
1000 SOUTH AVE
ROCHESTER, NY
ZIP 14620
Phone: (585) 341-6880
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MISS Carol Diane Fague, RPA-C is a medical physician assistant in Rochester, NY. MISS Carol Diane Fague, RPA-C NPI is 1851528798. 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:

1000 SOUTH AVE
ROCHESTER, NY
ZIP 14620-733
Phone: (585) 341-6880

The enumeration date for this NPI number is 6/18/2009 and was last updated on 9/26/2011.

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	363AM0700X	Physician Assistant	Medical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	J400037414	MEDICARE UPIN	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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