ALICE LORRAINE FAGAN


Address: 2130 Highland View Ln, Charlotte, NC 28214-9425
Phone: 2522894832

ALICE LORRAINE FAGAN (NPI# 1255947974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255947974
Entity Type Individual
Full Name ALICE LORRAINE FAGAN
Practice Address 2130 Highland View Ln
Charlotte
NC 28214-9425
Practice Telephone 2522894832
Mailing Telephone 2522894832
Enumeration Date 2020-09-17
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AG03200068 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2130 HIGHLAND VIEW LN
City CHARLOTTE
State NC
Zip Code 28214-9425

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124638317 Jakita Strong Nurse Practitioner 1506 Ladora Dr, Charlotte, NC 28262-6414 2020-08-03
1689209710 Ana Rita Frey Nurse Practitioner 601 E 5th St Ste 140, Charlotte, NC 28202-3092 2020-03-09
1356994966 Brandi Elizabeth Thompson Nurse Practitioner 10430 Park Rd Ste 100a, Charlotte, NC 28210-8541 2019-07-23
1609342252 Healthgram, Inc. Nurse Practitioner 8731 Red Oak Blvd, Charlotte, NC 28217-3984 2018-10-22
1407373319 Chariti G Lowder Nurse Practitioner 2607 W Arrowood Rd, Charlotte, NC 28273-6134 2017-08-23
1164871166 Sheila Ann Morris Nurse Practitioner 115 Shady Cir, Charlotte, NC 28216-2639 2016-06-09
1700400454 Caroline Michelle Turner Nurse Practitioner 300 Billingsley Rd Ste 101, Charlotte, NC 28211-1084 2020-05-28
1053943647 Amaya Johnson Nurse Practitioner 2540 W Arrowood Rd Ste 110, Charlotte, NC 28273-6198 2020-02-11
1518528728 Paula Gingles Nurse Practitioner 6133 The Plz, Charlotte, NC 28215-2401 2019-06-27
1720641939 Pauline Sylvia Parker Nurse Practitioner 4920 Albemarle Rd, Charlotte, NC 28205-6618 2019-04-15
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Competitor

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City CHARLOTTE
Zip Code 28214

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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