Individual provider · Type 1 NPI

Shannon Travis Fagan, CRNP

Adult Health Nurse Practitioner · Birmingham, AL

NPI number 1649537531 Active

Practice location

2000 6th Ave S
Birmingham, AL 35233-2110

Mailing address

PO Box 55310
Birmingham, AL 35255-5310

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200X1100148 (AL)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1649537531

Shannon Travis Fagan, CRNP's National Provider Identifier is 1649537531, issued on Apr 16, 2012. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Birmingham, AL. The record was last updated on Apr 16, 2012.