person
Alice Lorraine Fagan, APRN
Family Nurse Practitioner in West Columbia, South Carolina
NPI 1255947974

Alice Lorraine Fagan is a Family Nurse Practitioner based in West Columbia, SC and is specialized in Family. Alice Lorraine Fagan practices in West Columbia, SC and has the professional credentials of APRN. The NPI Number for Alice Lorraine Fagan is 1255947974 and holds a License No. AG03200068 (South Carolina).

The current practice location address for Alice Lorraine Fagan is 1053 Center Street, West Columbia, SC and can be reached out via phone at 800-491-0909.

Location: 1053 Center Street, West Columbia, SC, 29169
person
Provider Profile Details
NPI Number
1255947974
Provider Name
Alice Lorraine Fagan
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1053 Center Street, West Columbia, SC, 29169
Phone Number
800-491-0909
Fax Number
Provider Enumeration Date
09/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1053 Center Street
City
State
Zip
29169
Phone Number
800-491-0909
Fax Number
person
Provider Business Mailing Address Details
Address
1053 Center Street
City
State
Zip
29169
Phone Number
800-491-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
24467 (South Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
AG03200068 (North Carolina)
Definition
Definition to come...
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