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Holly J Lago, C-FNP
Family Nurse Practitioner in Phoenix, Arizona
NPI 1649240938

Holly J Lago is a Family Nurse Practitioner based in Atlanta, AZ and is specialized in Family. Holly J Lago practices in Phoenix, AZ and has the professional credentials of C-FNP. The NPI Number for Holly J Lago is 1649240938 and holds a License No. R134082-4 (Arizona).

The current practice location address for Holly J Lago is 1940 W Indian School Rd Ste 1, Phoenix, AZ and can be reached out via phone at 602-782-1880.

Location: 1940 W Indian School Rd Ste 1, Phoenix, AZ, 30374-6093
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Provider Profile Details
NPI Number
1649240938
Provider Name
Holly J Lago
Credential
C-FNP
Provider Entity Type
Individual
Gender
Female
Address
1940 W Indian School Rd Ste 1, Phoenix, AZ, 30374-6093
Phone Number
602-782-1880
Fax Number
Provider Enumeration Date
01/26/2006
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
886467500 05 MN
13620 01 AVERA
253254 01 MIDLANDS CHOICE
281G0KO 01 MN BLUE CROSS BLUE SHIELD
974311045631 01 PREF ONE
806278 01 AMERICAS PPO
0121785 01 MEDICA
135445 01 UCARE
435M6KO 01 MN BLUE CROSS BLUE SHIELD
0599456 05 IA
47358 01 SANFORD HEALTH
HP56828 01 HEALTHPARTNERS
P00365643 01 RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1940 W Indian School Rd Ste 1
City
State
Zip
85015-5112
Phone Number
602-782-1880
Fax Number
person
Provider Business Mailing Address Details
Address
1940 W Indian School Rd Ste 1
City
State
Zip
85015-5112
Phone Number
602-782-1880
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
2020040251 (Missouri)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R134082-4 (Minnesota)
Definition
Definition to come...
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