person
Mrs. Melodie Fagan
Family Nurse Practitioner in Bucyrus, Ohio
NPI 1003205576

Melodie Fagan is a Family Nurse Practitioner based in Crestline, OH and is specialized in Family. Melodie Fagan practices in Bucyrus, OH. The NPI Number for Melodie Fagan is 1003205576 and holds a License No. COA.16997-NP (Ohio).

The current practice location address for Melodie Fagan is 139 Gaius St, Bucyrus, OH and can be reached out via phone at 419-563-9855. You can also correspond with Melodie Fagan through the mailing address at 700 N COLUMBUS ST, CRESTLINE, OH - 44827-1455 (mailing address contact number: 419-468-0935).

Location: 139 Gaius St, Bucyrus, OH, 44827-1455
person
Provider Profile Details
NPI Number
1003205576
Provider Name
Melodie Fagan
Credential
Provider Entity Type
Individual
Gender
Female
Address
139 Gaius St, Bucyrus, OH, 44827-1455
Phone Number
419-563-9855
Fax Number
Provider Enumeration Date
01/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0117339 05 OH
institution
Provider Business Practice Location Address Details
Address
139 Gaius St
City
State
Zip
44820-1508
Phone Number
419-563-9855
Fax Number
person
Provider Business Mailing Address Details
Address
700 N Columbus St
City
State
Zip
44827-1455
Phone Number
419-468-0935
Fax Number
419-462-5372
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
COA.16997-NP (Ohio)
Definition
Definition to come...
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