Individual provider · Type 1 NPI

Katerina Fagan, ACNPC-AG

Urology Physician · Crestview, FL

NPI number 1356911671 Active

Practice location

435 Brookmeade Dr
Crestview, FL 32539-7304

Fax (850) 605-0440

Mailing address

PO Box 1027
Niceville, FL 32588-1027

Other practice locations

  • 320 Racetrack Rd NW Ste 100C, Fort Walton Beach, FL 32547-1796 · (850) 863-0883

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000X11031708 (FL)
Acute Care Nurse Practitioner 363LA2100XAPRN11031708 (FL)
Acute Care Nurse Practitioner 363LA2100X1046195 (TX)

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

5 other providers at this address

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About NPI 1356911671

Katerina Fagan, ACNPC-AG's National Provider Identifier is 1356911671, issued on Jun 29, 2021. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Crestview, FL. The record was last updated on May 19, 2026.