Breanna Fagg is a student in an organized health care education training program in Brazil, IN. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Breanna Fagg NPI is 1518357433. 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:
8510 N ADVINCULA DR
BRAZIL, IN
ZIP 47834-401
Phone: (812) 691-0383
The enumeration date for this NPI number is 1/30/2015 and was last updated on 1/30/2015.