Individual
CODY FAGA
Active
Individual
CODY FAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
236352
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
38749
TN
Other
Enumeration date
01/19/2023
Last updated
09/09/2025
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