MRS. ELLEN CATHERINE FAGAN-PRYOR


Address: 2121 Lake Avene, Fort Wayne, IN 46805-5100
Phone: 2604452123

MRS. ELLEN CATHERINE FAGAN-PRYOR (NPI# 1508961236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508961236
Entity Type Individual
Full Name MRS. ELLEN CATHERINE FAGAN-PRYOR
Credential MSN, PMHCNS, RN
Practice Address 2121 Lake Avene
Fort Wayne
IN 46805-5100
Mailing Address 8818 Hoffman Rd
Fort Wayne
IN 46816-9595
Practice Telephone 2604452123
Mailing Telephone 2606396767
Enumeration Date 2006-09-14
Last Update Date 2013-03-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0809X Registered Nurse
Specialization: Psych/Mental Health, Adult
28101257A IN Nursing Service Providers

Office Location

Street Address 2121 LAKE AVENE
City FORT WAYNE
State IN
Zip Code 46805-5100

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619589546 Connor Gemlick Student in an Organized Health Care Education/Training Program 1918 Carew St., Fort Wayne, IN 46805 2020-08-21
1710464086 S.t.a.r. Care Services Clinic/Center 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 2018-07-19
1083122865 Noel Shafi Counselor 3010 East State Boulevard, Fort Wayne, IN 46805 2018-01-16
1063963627 Toni L Irby Specialist 3219 E State Blvd, Fort Wayne, IN 46805 2016-10-19
1639626211 Logan Schwerer Pharmacist 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 2016-09-01
1063817104 Michale Diane Rothgeb Physical Therapy Assistant 2200 Randollia Dr, Fort Wayne, IN 46805 2014-10-31
1124435789 Julia I. Mcfann Physical Therapist 2200 Randalia Dr, Fort Wayne, IN 46805 2014-07-16
1083036974 Capital Senior Living Properties 4, Inc. Assisted Living Facility 3320 East State Boulevard, Fort Wayne, IN 46805 2014-01-10
1356772396 Alexander James Medical Supply Durable Medical Equipment & Medical Supplies 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 2013-12-02
1043595689 Randy James Jennings Pharmacist 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 2011-10-14
Find all providers in zip 46805

Taxonomy Information

Taxonomy Code 163WP0809X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174706691 Valerie J Rumple Registered Nurse 1909 Carew St, Fort Wayne, IN 46805 2007-12-06
1548683188 Rachel Roberts Registered Nurse 909 E State Blvd, Fort Wayne, IN 46805-3404 2014-02-03
1255776779 Michelle Denise Cox Registered Nurse 909 E State Blvd, Fort Wayne, IN 46805-3404 2013-05-10
1336410703 Richard Cain Registered Nurse 3512 Stellhorn Rd, Fort Wayne, IN 46815-4631 2012-01-18
1184911158 Teresa L Roberts Registered Nurse 909 E State Blvd, Fort Wayne, IN 46805 2011-06-29
1659603413 Melissa G Pulver Registered Nurse 909 E State Blvd, Fort Wayne, IN 46805-3404 2010-02-04
1700018611 Lucinda M Cress Registered Nurse 909 E State Blvd, Fort Wayne, IN 46805-3404 2009-08-12
1568691525 Leslie F Long Registered Nurse 909 E State Blvd, Fort Wayne, IN 46805-3404 2009-07-10
1275774408 Alice K Dyer Registered Nurse 909 E State Blvd, Fort Wayne, IN 46805-3404 2009-03-18
1871776104 Amy S Caudill Registered Nurse 909 E State Blvd, Fort Wayne, IN 46805-3404 2007-12-10
Find all providers in FORT WAYNE

Competitor

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City FORT WAYNE
Zip Code 46805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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