Individual
ANNA FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
900 N ORANGE ST, MISSOULA, MT 59802-2998
(406) 329-5776
Mailing address
900 N ORANGE ST, MISSOULA, MT 59802-2998
(406) 329-5776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-27623
MT
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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