Magen Suzann Fann, RN
Individual provider Active NPI Registered Nurse · Mayfield, KY
NPI 1558079368 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1558079368
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1148755 (KY)
- Practice address
- 1253 Paris Rd
Mayfield, KY 42066-4989 - Phone
- (270) 247-2455
- Fax
- (270) 247-7841
- NPI assigned
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1148755 | KY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1148755 | KY | Yes |
Addresses
Primary practice location
1253 Paris Rd
Mayfield, KY 42066-4989
Mailing address
1253 Paris Rd
Mayfield, KY 42066-4989
Phone (270) 247-2455
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | magen.fann@va.gov | Health Information Exchange (HIE) |
Other providers in Mayfield, KY
- Deborah Borden Dunker
- Eagle Acquisition III LLC
- Edward B McWhirt MD PC
- Ellen Burnett, MD PLLC
- Empicare, Inc.
- Lindsey Paige Farmer
- Farthing Mayfield Ky Opco LLC
- Fast Pace Kentucky, PLLC
- Rebecca Fletcher
- Durwood W Flournoy
All providers in Mayfield, KY · Registered Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.