MRS. Tara T.s. Fagan, APRN
NPI #1114205473 in Westbrook, Connecticut
Provider Information
- NPI Number
- 1114205473
- Entity Type
- Individual
- Name
- MRS. Tara T.s. Fagan, APRN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APRN
- Enumeration Date
- Aug 3, 2011
- Last Updated
- Mar 2, 2017
Practice Location
- Address
- 250 FLAT ROCK PL
- City
- Westbrook
- State
- Connecticut
- ZIP Code
- 06498-1565
- Phone
- (860) 358-3760
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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