Debra J Fahey APNP

NPI 1063417020 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1063417020
Gender Female
Enumeration Date 06/16/2005
Last Updated 10/01/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
800 WEST AVE S
LA CROSSE WI, 54601-8806, US
Phone (608) 785-0940
Fax
Business Location
800 WEST AVE S
LA CROSSE WI, 54601-8806, US
Phone (608) 785-0940
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Wisconsin
License Number 2134
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According to our database, Debra J Fahey APNP NPI is 1063417020, taxonomy code is 363L00000X and license number is 2134, license state is located at Wisconsin. Debra J Fahey APNP physically located at 800 West Ave S, La Crosse WI, 54601-8806. NPI Number Debra J Fahey APNP has the Individual type.

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1063417020 NPI number is provided on an as is basis without warranty of any kind. 1063417020 is maintained by the National Plan & Provider Enumeration System. The contents of Debra J Fahey APNP are for informational purposes only.