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Ms. Sheryl Diane Fagan, ARNP
Adult Health Nurse Practitioner in Lutz, Florida
NPI 1295055242

Sheryl Diane Fagan is an Adult Health Nurse Practitioner based in Clearwater, FL and is specialized in Adult Health. Sheryl Diane Fagan practices in Lutz, FL and has the professional credentials of ARNP. The NPI Number for Sheryl Diane Fagan is 1295055242 and holds a License No. ARNP1662752 (Florida).

The current practice location address for Sheryl Diane Fagan is 4211 Van Dyke Rd, Lutz, FL and can be reached out via phone at 813-264-6490 and via fax at 813-443-8143.

Location: 4211 Van Dyke Rd, Lutz, FL, 33757-8744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295055242
Provider Name
Sheryl Diane Fagan
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
4211 Van Dyke Rd, Lutz, FL, 33757-8744
Phone Number
813-264-6490
Fax Number
813-443-8143
Provider Enumeration Date
06/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002400000 05 FL
institution
Provider Business Practice Location Address Details
Address
4211 Van Dyke Rd
City
Lutz
State
Florida
Zip
33558-8005
Phone Number
813-264-6490
Fax Number
813-443-8143
person
Provider Business Mailing Address Details
Address
4211 Van Dyke Rd
City
Lutz
State
Florida
Zip
33558-8005
Phone Number
813-264-6490
Fax Number
813-443-8143
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
ARNP1662752 (Florida)
Definition
Definition to come...
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