Individual provider · Type 1 NPI

Vincent Alan Fagan

Student in an Organized Health Care Education/Training Program · Mobile, AL

NPI number 1962091850 Active

Practice location

371 Cabana Blvd W Apt 107
Mobile, AL 36609-1610

Call (765) 719-1800 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1962091850

Vincent Alan Fagan's National Provider Identifier is 1962091850, issued on Jan 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Mobile, AL. The record was last updated on Jan 14, 2021.