Individual
ASHLEY NICOLE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP-C
Contact information
Practice address
1900 DON WICKHAM DR, CLERMONT, FL 34711-1979
(352) 394-4071
(352) 536-8841
Mailing address
1900 DON WICKHAM DR, CLERMONT, FL 34711-1979
(352) 394-4071
(352) 536-8841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9343086
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9343086
FL
Other
Enumeration date
04/27/2016
Last updated
04/11/2023
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