IndividualActive
Bobbi Fagan, PEER SPECIALIST
NPI 1477024206 · Peer Specialist · Omaha, NE
Provider details
- NPI number
- 1477024206
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PEER SPECIALIST
- Sex
- Female
- Sole proprietor
- Yes
- License
- 52521 (NE)
Mailing address
4006 Ida St
Omaha, NE 68112-0257
Registry dates
- Enumerated
- 2018-12-05
- Last updated
- 2024-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.