Most Relevant Information
Provider Data
| NPI Number: | 1003064957 |
| Provider Name: | LINDA SUE FAGAN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 320356 |
Most Important Dates
| Enumeration Date: | 09/04/2008 |
| Last Updated: | 09/04/2008 |
Provider Practice Location
3525 SHERIDAN RD
PORTSMOUTH
OH
456622359
Practice Location Phone/Fax
| Phone: | 7403538716 |
| Fax: | 7403538716 |
Provider Mailing Location
3525 SHERIDAN RD
PORTSMOUTH
OH
456622359
Provider Mailing Phone/Fax
| Phone: | 7403538716 |
| Fax: | 7403538716 |