NPI 1891090460 · live from the CMS NPI Registry
Heather Nichole Fagan, Au.D.
Audiologist in Huntington, WV. National Provider Identifier 1891090460, active.
NPI record
| NPI | 1891090460 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 1540 Spring Valley Dr, Huntington, WV 25704 |
| Practice phone | 304-429-6755 |
| Enumerated | January 12, 2011 |
| Last updated | October 9, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | 2201001451 (VA) |
| Audiologist-Hearing Aid Fitter | 237600000X | 2201001451 (VA) |
| Audiologist primary | 231H00000X | A-0285 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.