Active NPIIndividual provider

Agnes Fagan, APN

Nurse Practitioner, Pediatrics in Sewell, New Jersey

NPI Number1538635669
Practice location
269 Fish Pond RD, Sewell, NJ 08080-3047
Fax
856-863-9666
Last updated
October 16, 2018

Agnes Fagan is a Nurse Practitioner, Pediatrics based in Sewell, NJ. Agnes Fagan practices in Sewell, NJ and has the professional credentials of APN. The NPI Number for Agnes Fagan is 1538635669 and holds a License No. 26NJ00851200 (NJ). The current practice location address for Agnes Fagan is 269 Fish Pond RD, Sewell, NJ 08080-3047 and can be reached out via phone at 856-863-9999 and via fax at 856-863-9666.

Provider Profile Details

NPI Number
1538635669
Provider Name
Agnes Fagan
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
269 Fish Pond RD, Sewell, NJ 08080-3047
Phone Number
856-863-9999
Fax Number
856-863-9666
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
October 16, 2018
Last Update Date
October 16, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
269 Fish Pond RD
Sewell, NJ 08080-3047
City
Sewell
Zip
08080-3047
Phone Number
856-863-9999
Fax Number
856-863-9666
Sewell, NJ 08080Get directions →

Provider Business Mailing Address Details

Address
269 Fish Pond RD
Sewell, NJ 08080-3047
City
Sewell
State
NJ
Zip
08080-3047
Phone Number
856-863-9999
Fax Number
856-863-9666

License Information

License Number
26NJ00851200
License State
NJ
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Pediatrics providers near Sewell, NJ

View all Nurse Practitioner, Pediatrics providers in Sewell →

Frequently Asked Questions

What is the NPI number of Agnes Fagan, APN?

The NPI number of Agnes Fagan, APN is 1538635669. It was assigned on October 16, 2018 and is currently active in the NPPES registry.

What is the specialty of Agnes Fagan, APN?

Agnes Fagan, APN is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in NJ under license number 26NJ00851200.

Where does Agnes Fagan, APN practice?

The practice location is 269 Fish Pond RD, Sewell, NJ 08080-3047. The office can be reached at 856-863-9999 (phone) or 856-863-9666 (fax).

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 1538635669 directly on the NPPES registry website.

Browse related providers