Individual
MRS. CYNTHIA MARIE FAGAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
12705 CLEARWATER DR, MIDLOTHIAN, VA 23114-7133
(804) 379-0724
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024164199
VA
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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