Most Relevant Information
Provider Data
| NPI Number: | 1003199456 |
| Provider Name: | BROWNIE FAGAN RN BSN CMSRN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WM0705X |
| Specialty: | Registered Nurse |
| License Number: | 704102-01 |
Most Important Dates
| Enumeration Date: | 09/22/2011 |
| Last Updated: | 06/12/2021 |
Provider Practice Location
5050 ISELIN AVE
BRONX
NY
104712915
Practice Location Phone/Fax
| Phone: | 7185496700 |
| Fax: |
Provider Mailing Location
5050 ISELIN AVE
BRONX
NY
104712915
Provider Mailing Phone/Fax
| Phone: | 7185496700 |
| Fax: |