Individual
KAREN FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
200 ALFRED ST, MICHIGAN CITY, IN 46360
(815) 773-7827
Mailing address
710 FRANKLIN ST STE 200, MICHIGAN CITY, IN 46360-3564
(219) 872-6200
(219) 879-2915
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015643
IL
Other
Enumeration date
01/10/2017
Last updated
02/20/2024
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