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Katerina Fagan, ACNPC-AG
Acute Care Nurse Practitioner in Fort Walton Beach, Florida
NPI 1356911671

Katerina Fagan is an Acute Care Nurse Practitioner based in Fort Walton Beach, FL and is specialized in Acute Care. Katerina Fagan practices in Fort Walton Beach, FL and has the professional credentials of ACNPC-AG. The NPI Number for Katerina Fagan is 1356911671 and holds a License No. 1046195 (Florida).

The current practice location address for Katerina Fagan is 320 Racetrack Rd Nw Ste 100C, Fort Walton Beach, FL and can be reached out via phone at 850-863-0883.

Location: 320 Racetrack Rd Nw Ste 100C, Fort Walton Beach, FL, 32547-1796
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356911671
Provider Name
Katerina Fagan
Credential
ACNPC-AG
Provider Entity Type
Individual
Gender
Female
Address
320 Racetrack Rd Nw Ste 100C, Fort Walton Beach, FL, 32547-1796
Phone Number
850-863-0883
Fax Number
Provider Enumeration Date
06/29/2021
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
320 Racetrack Rd Nw Ste 100C
City
Fort Walton Beach
State
Florida
Zip
32547-1796
Phone Number
850-863-0883
Fax Number
person
Provider Business Mailing Address Details
Address
320 Racetrack Rd Nw Ste 100C
City
Fort Walton Beach
State
Florida
Zip
32547-1796
Phone Number
850-863-0883
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
1046195 (Texas)
Definition
Definition to come...
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