Individual provider · Type 1 NPI

Sheryl Diane Fagan, A.R.N.P.

Adult Health Nurse Practitioner · Lutz, FL

NPI number 1295055242 Active

Practice location

4211 Van Dyke Rd, Suite 200
Lutz, FL 33558-8005

Fax (813) 443-8143

Mailing address

2995 Drew St Fl 2
Clearwater, FL 33759-3012

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XARNP1662752 (FL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1295055242

Sheryl Diane Fagan, A.R.N.P.'s National Provider Identifier is 1295055242, issued on Jun 1, 2010. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lutz, FL. The record was last updated on Aug 28, 2026.