Fagan, Kathleen Anne

Fagan, Kathleen Anne is an individual health care provider with primary practice located at 241 Moore St , Hackensack NJ 07601-7533. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Fagan, Kathleen Anne can be contacted via phone (201) 342-2478.

Contact Information

Primary practice address
241 Moore St Hackensack NJ 07601-7533
Phone: (201) 342-2478
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 26NN09492700 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 26NN09492700 New Jersey

Profile Details

NPI number 1386974517
LBN Legal business name Fagan, Kathleen Anne
Credentials DNSC, RN, BC, APN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2010
Last updated Jan 11th, 2010 - about 15 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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