Individual
MELISSA MARIE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
202 10TH STREET SE, CEDAR RAPIDS, IA 52403-2404
(319) 398-1545
(319) 399-2039
Mailing address
PO BOX 3178, CEDAR RAPIDS, IA 52406-3178
(319) 398-1583
(319) 399-2085
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
A080649
IA
363LF0000X
Family Nurse Practitioner
Primary
A080649
IA
Other
Enumeration date
03/26/2007
Last updated
10/09/2020
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