Individual provider · Type 1 NPI
Bobbi Lynn Fagan, PEER SPECIALIST
Peer Specialist · Omaha, NE
NPI number
1477024206
Active
Practice location
415 South 25th Ave, Annex Bld
Omaha, NE 68131
Mailing address
4006 Ida St, Alpha Life
Omaha, NE 68112-0257
Other practice locations
- 4006 Ida St, Alpha Life, Omaha, NE 68112-0257 · (531) 207-6462
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide | 376K00000X | 52521 (NE) |
| Peer Specialist Primary | 175T00000X | CPSS-305 (NE) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1477024206
Bobbi Lynn Fagan, PEER SPECIALIST's National Provider Identifier is 1477024206, issued on Dec 5, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Omaha, NE. The record was last updated on Jun 6, 2024.