Individual
JUDITH FAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
570 W BROWN RD, MESA, AZ 85201-3227
(480) 344-2007
Mailing address
3255 E ELWOOD ST, #110, PHOENIX, AZ 85034-7256
(602) 470-5043
(602) 470-5064
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
AZ
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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