Kathleen Fagerland, CNM is a
Clinical Nurse Specialist - Women's Health based in Twin Falls, Idaho. Kathleen Fagerland is licensed to practice in Idaho (license number CNM-41A) and her current practice location is
200 2nd Ave N, Twin Falls, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 734-9955.
NPI number for Kathleen Fagerland is 1124214788 and her current mailing address is 3668 N Harbor Ln, Boise, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124214788.
Provider's Profile
| Full Name | Kathleen Fagerland |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Women's Health |
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| Location | 200 2nd Ave N, Twin Falls, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124214788
- Provider Enumeration Date: 09/18/2007
- Last Update Date: 09/18/2007
Medical Identifiers
Medical identifiers for Kathleen Fagerland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124214788 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SW0102X | Clinical Nurse Specialist - Women's Health | CNM-41A (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Fagerland is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kathleen Fagerland, CNM
3668 N Harbor Ln,
Boise, ID 83703-6914
Ph: (208) 376-9300 | Kathleen Fagerland, CNM
200 2nd Ave N,
Twin Falls, ID 83301-6158
Ph: (208) 734-9955 |
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