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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. DEVONA L. FAGAN, N.P.

Active Sole Proprietor

MRS. DEVONA L. FAGAN, N.P. is a Acute Care Nurse Practitioner healthcare provider located in BOULDER CITY, Nevada. NPI 1013167402 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · BOULDER CITY, NV

Registration Details

NPI Number
1013167402
Provider Type
Individual
Gender
Female
NPI Issued
Sep 23, 2008 (17.866850289276 yrs)
Last Updated
Jun 27, 2023
Licenses
NP17793 (CA)
17793 (CA)
Sole Proprietor
Yes

Practice Information

Address
895 ADAMS BLVD
BOULDER CITY, NV, 890052235
Browse NV providers · Browse ZIP 89005
Phone
7022930406
Fax
7022930192
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X
Additional Specialty
Acute Care Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.