Individual
VAN THUY FAGERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-4738
(216) 636-5860
Mailing address
8522 CREEKSIDE DR, NORTHFIELD, OH 44067-1877
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.0029226
OH
363LA2200X
Adult Health Nurse Practitioner
SP016559
PA
Other
Enumeration date
09/20/2016
Last updated
02/01/2022
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