Fagan, Devona L.

Fagan, Devona L. is an sole proprietor health care provider with primary practice located at 895 Adams Blvd , Boulder City NV 89005-2235. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Fagan, Devona L. can be contacted via phone (702) 293-0406.

Contact Information

Primary practice address
895 Adams Blvd Boulder City NV 89005-2235
Phone: (702) 293-0406
Fax: (702) 293-0192
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X NP17793 California
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 17793 California

Profile Details

NPI number 1013167402
LBN Legal business name Fagan, Devona L.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2008
Last updated Jun 27th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers