Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COURTNEY FAGAN, REGISTERED NURSE
Active Sole ProprietorDiabetes Educator Nurse · RACINE, WI
Registration Details
- NPI Number
- 1972098697
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 25, 2018 (7.8231623147703 yrs)
- Last Updated
- Jun 25, 2018
- License
-
184877-30 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3805 SPRING STREETBLDG A - SUITE 311RACINE, WI, 534051600Browse WI providers · Browse ZIP 53405
- Phone
- 2626876345
- Primary Specialty
-
Diabetes Educator Nurse
163WD0400X
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.