Individual provider · Type 1 NPI
Devona L. Fagan, N.P.
Acute Care Nurse Practitioner · Boulder City, NV
NPI number
1013167402
Active
Practice location
895 Adams Blvd
Boulder City, NV 89005-2235
Fax (702) 293-0192
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Registered Nurse | 163WE0003X | NP17793 (CA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 17793 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1013167402
Devona L. Fagan, N.P.'s National Provider Identifier is 1013167402, issued on Sep 23, 2008. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Boulder City, NV. The record was last updated on Jun 27, 2023.