IndividualActive
Devona Fagan, N.P.
NPI 1013167402 · Acute Care Nurse Practitioner · Boulder City, NV
Provider details
- NPI number
- 1013167402
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- Yes
- License
- NP17793 (CA)
Practice location
895 Adams Blvd
Boulder City, NV 89005-2235
Phone: (702) 293-0406
Fax: (702) 293-0192
Mailing address
895 Adams Blvd
Boulder City, NV 89005-2235
Registry dates
- Enumerated
- 2008-09-23
- Last updated
- 2023-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.