Individual
ELIZABETH MARIE FAGIOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, AG-ACNP-BC
Contact information
Practice address
601 W BUSINESS LOOP 70 STE 275, COLUMBIA, MO 65203-2522
(573) 874-0008
(573) 875-5350
Mailing address
601 W BUSINESS LOOP 70 STE 275, COLUMBIA, MO 65203-2522
(573) 874-0008
(573) 875-5350
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016028015
MO
363LG0600X
Gerontology Nurse Practitioner
2016028014
MO
Other
Enumeration date
04/11/2016
Last updated
03/14/2025
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