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Individual

MARGARET FASANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
303 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114-2709
(386) 425-2285
(386) 425-7522
Mailing address
PO BOX 732901, DALLAS, TX 75373-2901
(386) 226-4590
(386) 226-3371

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5005385
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
ARNP9336178
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F4011141
NY

Other

Enumeration date
10/15/2008
Last updated
11/17/2015
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