JOSHUA J FAGAN FNP NPI 1033867544

NPI Information

NPI: 1033867544
Provider Name: JOSHUA J FAGAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2240 63RD AVE S APT 515
ST PETERSBURG, FL
ZIP 33712
Phone: (727) 656-1341
Get Directions

Joshua J Fagan, FNP is a family nurse practitioner in St Petersburg, FL. Joshua J Fagan, FNP NPI is 1033867544. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2240 63RD AVE S APT 515
ST PETERSBURG, FL
ZIP 33712-311
Phone: (727) 656-1341

The enumeration date for this NPI number is 3/14/2022 and was last updated on 3/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	11013563	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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