Mrs. Tara T Fagan, APRN
Nurse Practitioner, Family in Westbrook, Connecticut
1114205473- Practice location
- 250 Flat Rock Pl, Westbrook, CT 06498-1565
- Phone
- 860-358-3760
- Fax
- —
- Last updated
- March 2, 2017
Tara T.s. Fagan is a Nurse Practitioner, Family based in Westbrook, CT. Tara T.s. Fagan practices in Westbrook, CT and has the professional credentials of APRN. The NPI Number for Tara T.s. Fagan is 1114205473 and holds a License No. 4711 (CT). The current practice location address for Tara T.s. Fagan is 250 Flat Rock Pl, Westbrook, CT 06498-1565 and can be reached out via phone at 860-358-3760.
Provider Profile Details
- NPI Number
- 1114205473
- Provider Name
- Tara T.s. Fagan
- Credential
- APRN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 250 Flat Rock Pl, Westbrook, CT 06498-1565
- Phone Number
- 860-358-3760
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 3, 2011
- Last Update Date
- March 2, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 250 Flat Rock Pl
Westbrook, CT 06498-1565 - City
- Westbrook
- State
- Connecticut
- Zip
- 06498-1565
- Phone Number
- 860-358-3760
Provider Business Mailing Address Details
- Address
- 7 Partridge Hollow RD
Killingworth, CT 06419-1025 - City
- Killingworth
- State
- CT
- Zip
- 06419-1025
- Phone Number
- 860-452-4042
License Information
- License Number
- 4711
- License State
- CT
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Tara T Fagan, APRN?
The NPI number of Mrs. Tara T Fagan, APRN is 1114205473. It was assigned on August 3, 2011 and is currently active in the NPPES registry.
What is the specialty of Mrs. Tara T Fagan, APRN?
Mrs. Tara T Fagan, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 4711.
Where does Mrs. Tara T Fagan, APRN practice?
The practice location is 250 Flat Rock Pl, Westbrook, CT 06498-1565. The office can be reached at 860-358-3760 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114205473 directly on the NPPES registry website.