Individual
CATHERINE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
8402 HARCOURT RD STE 830, INDIANAPOLIS, IN 46260-2096
(317) 338-8857
Mailing address
13345 ILLINOIS ST, CARMEL, IN 46032-3318
(317) 396-1300
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10004295A
IN
Other
Enumeration date
11/07/2023
Last updated
03/24/2025
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