person
Lee Marshall Fagen, NP
Adult Health Nurse Practitioner in Berkeley, California
NPI 1275639098

Lee Marshall Fagen is an Adult Health Nurse Practitioner based in Berkeley, CA and is specialized in Adult Health. Lee Marshall Fagen practices in Berkeley, CA and has the professional credentials of NP. The NPI Number for Lee Marshall Fagen is 1275639098 and holds a License No. RN373234, NP7501 (California).

The current practice location address for Lee Marshall Fagen is 2222 Bancroft Ext, Berkeley, CA and can be reached out via phone at 510-643-9135.

Location: 2222 Bancroft Ext, Berkeley, CA, 94705-1206
person
Provider Profile Details
NPI Number
1275639098
Provider Name
Lee Marshall Fagen
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
2222 Bancroft Ext, Berkeley, CA, 94705-1206
Phone Number
510-643-9135
Fax Number
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2222 Bancroft Ext
City
State
Zip
94720-4303
Phone Number
510-643-9135
Fax Number
person
Provider Business Mailing Address Details
Address
2222 Bancroft Ext
City
State
Zip
94720-4303
Phone Number
510-643-9135
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
RN373234, NP7501 (California)
Definition
Definition to come...
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