IndividualActive
Adam Fagan
NPI 1639971773 · Adult Companion · Omaha, NE
Provider details
- NPI number
- 1639971773
- Entity type
- Individual
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
10462 W St
Omaha, NE 68127-2926
Phone: (402) 810-0473
Approximate (ZIP-level) locationGet directions
Mailing address
9744 Mockingbird Dr
Omaha, NE 68127-2013
Registry dates
- Enumerated
- 2025-03-27
- Last updated
- 2025-03-27
- Certified
- 2025-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.