Individual
MS. MAUREEN BERNADETTE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP/MS
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-4215
(617) 975-0825
Mailing address
3 CANDLESTICK LN, FRAMINGHAM, MA 01702-5537
(617) 943-2135
(617) 975-0825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
158764
MA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
158764
MA
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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