NPI 1225576739 · live from the CMS NPI Registry
Patrick Fahey, PA-C
Physician Assistant in Fargo, ND. National Provider Identifier 1225576739, active.
NPI record
| NPI | 1225576739 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4110 51st Ave S, Fargo, ND 58104 |
| Practice phone | 701-364-3100 |
| Mailing address | Po Box 6001, Fargo, ND 58108 |
| Enumerated | February 3, 2017 |
| Last updated | February 3, 2017 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.