KATERINA FAGAN ACNPC-AG NPI 1356911671

NPI Information

NPI: 1356911671
Provider Name: KATERINA FAGAN, ACNPC-AG
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
320 RACETRACK RD NW STE 100C
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-0883
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Katerina Fagan, ACNPC-AG is an acute care nurse practitioner in Fort Walton Beach, FL. Katerina Fagan, ACNPC-AG NPI is 1356911671. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

320 RACETRACK RD NW STE 100C
FORT WALTON BEACH, FL
ZIP 32547-796
Phone: (850) 863-0883

The NPI 1356911671 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/29/2021 and was last updated on 4/1/2024.

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	363LA2100X	Nurse Practitioner	Acute Care	1046195	TEXAS	No
2	363LA2100X	Nurse Practitioner	Acute Care	APRN11031708	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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