Beth Marie Agan, PA-C
Physician Assistant in Mt. Carmel, IL. Individual provider (NPI-1).
NPI number1295200319
StatusActive
Last updated in NPPESJul 22, 2025
Details
- NPI
- 1295200319
- Entity type
- Individual (NPI-1)
- Name
- Beth Marie Agan
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2018
- Certification date
- Jul 22, 2025
- Last updated
- Jul 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1527 College Dr.Mt. Carmel, IL 62863
Phone 618-263-6400
Mailing address
1349 W Chukar HolwHaubstadt, IN 47639-8684
Phone 812-598-4858
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