Individual
AMY FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
152 CONANT ST STE 3, BEVERLY, MA 01915-1659
(978) 236-1300
Mailing address
152 CONANT ST STE 3, BEVERLY, MA 01915-1659
(978) 236-1300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN234050
MA
Other
Enumeration date
05/04/2016
Last updated
01/17/2023
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