National Provider Identifier
Martha Fagan, FNP
Martha Fagan, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (315) 552-7763.
Profile Overview
- NPI
- 1811596224
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- October 19, 2020
- Last Updated
- October 19, 2020
Practice Location
- 300 Meridian Centre Blvd Ste 320
- Rochester, NY 14618-3984
Phone: (315) 552-7763
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1811596224
- Entity Type
- Individual
- Last Name
- Fagan
- First Name
- Martha
- Credential
- FNP
- Provider Other Last Name
- Adsit
- Provider Other First Name
- Martha
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 300 Meridian Centre Blvd Ste 320
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14618-3984
- Mailing Country
- US
- Mailing Phone
- (315) 552-7763
- Practice Street Address
- 300 Meridian Centre Blvd Ste 320
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-3984
- Practice Country
- US
- Practice Phone
- (315) 552-7763
- Enumeration Date
- October 19, 2020
- Last Updated
- October 19, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 19, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)