Fagan, Colby Bray

Fagan, Colby Bray is an sole proprietor health care provider with primary practice located at 354 Tremont St , Boston MA 02116-5538. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fagan, Colby Bray can be contacted via phone (617) 426-9200.

Contact Information

Primary practice address
354 Tremont St Boston MA 02116-5538
Phone: (617) 426-9200
Fax: (617) 426-9201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN2325154 Massachusetts

Profile Details

NPI number 1710649835
LBN Legal business name Fagan, Colby Bray
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2021
Last updated Oct 6th, 2021 - about 5 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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