Colleen Marie Fay, PA-C
Physician Assistant in Chandler, AZ. Individual provider (NPI-1).
NPI number1164071247
StatusActive
Last updated in NPPESJan 21, 2022
Details
- NPI
- 1164071247
- Entity type
- Individual (NPI-1)
- Name
- Colleen Marie Fay
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2019
- Certification date
- Jan 21, 2022
- Last updated
- Jan 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 8754 | AZ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1955 W Frye RdChandler, AZ 85224-6282
Phone 480-728-3000
Mailing address
1955 W Frye RdChandler, AZ 85224-6282
Phone 480-789-0845
Other practice locations
690 W Gary Ave
Gilbert, AZ 85233-2064
Gilbert, AZ 85233-2064
Phone 480-789-0845
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