MARY FAGO NP
NPI 1093929713
Nurse Practitioner in Holyoke, MA

Q: What is Mary Fago's NPI number?

The NPI number for Mary Fago is 1093929713. It was assigned to this individual provider in the NPPES registry on May 10, 2007.

Q: What is Mary Fago's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Fago was last updated on December 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 10, 2007

319 BEECH ST, TEEN CLINIC, HOLYOKE, MA 01040(413) 534-2033 Get Directions Write a Review

NPPES record last updated: December 18, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mary Fago Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY FAGO NP (NPI 1093929713) is an individual nurse practitioner in Holyoke, Massachusetts, licensed in Massachusetts (109181) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1093929713

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARY FAGOCredential: NP

Location Address319 BEECH ST, TEEN CLINICHolyoke, MA 01040-3968

Mailing Address66 Roe AveNorthampton, MA 01060-1636 · (413) 584-1732

Phone(413) 534-2033

Sole ProprietorNo

Enumeration DateMay 10, 2007

Last NPPES UpdateDecember 18, 2014

✔ NPI 1093929713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MA · 109181

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

319 BEECH ST, Holyoke, MA 01040

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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