Alexa L Fagan, PA-C
Physician Assistant in Smithfield, North Carolina
1912655861- Practice location
- 100 Kellie Dr, Smithfield, NC 27577-9444
- Phone
- 919-934-1094
- Fax
- —
- Last updated
- September 8, 2022
Alexa Laliberte Fagan is a Physician Assistant based in Smithfield, NC. Alexa Laliberte Fagan practices in Smithfield, NC and has the professional credentials of PA-C. The NPI Number for Alexa Laliberte Fagan is 1912655861 and holds a License No. 0010-12568 (NC). The current practice location address for Alexa Laliberte Fagan is 100 Kellie Dr, Smithfield, NC 27577-9444 and can be reached out via phone at 919-934-1094.
Provider Profile Details
- NPI Number
- 1912655861
- Provider Name
- Alexa Laliberte Fagan
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 100 Kellie Dr, Smithfield, NC 27577-9444
- Phone Number
- 919-934-1094
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 10, 2022
- Last Update Date
- September 8, 2022
- Certification Date
- September 8, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Kellie Dr
Smithfield, NC 27577-9444 - City
- Smithfield
- State
- North Carolina
- Zip
- 27577-9444
- Phone Number
- 919-934-1094
Provider Business Mailing Address Details
- Address
- Po Box 5105
Belfast, ME 04915-5100 - City
- Belfast
- State
- ME
- Zip
- 04915-5100
- Phone Number
- 919-220-5255
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 0010-12568
- License State (2)
- NC
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alexa L Fagan, PA-C?
The NPI number of Alexa L Fagan, PA-C is 1912655861. It was assigned on March 10, 2022 and is currently active in the NPPES registry.
What is the specialty of Alexa L Fagan, PA-C?
Alexa L Fagan, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 0010-12568.
Where does Alexa L Fagan, PA-C practice?
The practice location is 100 Kellie Dr, Smithfield, NC 27577-9444. The office can be reached at 919-934-1094 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912655861 directly on the NPPES registry website.