Individual provider · Type 1 NPI
Mathias Fagan
Student in an Organized Health Care Education/Training Program · Memphis, TN
NPI number
1740128503
Active
Practice location
910 Madison Ave Ste 1002
Memphis, TN 38103-3487
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
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About NPI 1740128503
Mathias Fagan's National Provider Identifier is 1740128503, issued on Mar 23, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Memphis, TN. The record was last updated on Mar 23, 2026.