Individual provider
MRS. DEVONA L. FAGAN, N.P.
CMS NPPES lists MRS. DEVONA L. FAGAN as an individual provider record with NPI 1013167402. The current record reports a primary practice location in BOULDER CITY, NV and primary taxonomy code 363LA2100X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location895 ADAMS BLVDBOULDER CITY, NV 890052235
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
163WE0003XAdditional reported taxonomy363LA2100XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- September 23, 2008
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.