Individual
MARGARET JOAN FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1503 LANSDOWNE AVE, SUITE 3002, DARBY, PA 19023-1330
(610) 237-4973
(610) 237-7311
Mailing address
341 MOHICAN ST, LESTER, PA 19029-1621
(610) 521-0740
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP001899D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002660916001
—
PA
Enumeration date
07/06/2009
Last updated
01/31/2012
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