Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMANDA M FAGAN
ActiveAMANDA M FAGAN is a Emergency Medical Technician, Intermediate healthcare provider located in GARDNER, Illinois. NPI 1790664142 is currently active in the NPPES registry. Verify at CMS.
Emergency Medical Technician, Intermediate · GARDNER, IL
Registration Details
- NPI Number
- 1790664142
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2025 (0.97804857806015 yrs)
- Last Updated
- Aug 29, 2025
- License
-
000828467 (IL)
Practice Information
- Address
-
206 DEPOT STGARDNER, IL, 604249441Browse IL providers · Browse ZIP 60424
- Phone
- 8155570980
- Primary Specialty
-
Emergency Medical Technician, Intermediate
146L00000X
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.