Magen Suzann Fann, RN
Registered Nurse in Mayfield, KY. Individual provider (NPI-1).
NPI number1558079368
StatusActive
Last updated in NPPESNov 10, 2022
Details
- NPI
- 1558079368
- Entity type
- Individual (NPI-1)
- Name
- Magen Suzann Fann
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2022
- Certification date
- Nov 10, 2022
- Last updated
- Nov 10, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 1148755 | KY | Yes |
Practice location
1253 Paris RdMayfield, KY 42066-4989
Phone 270-247-2455 · Fax 270-247-7841
Mailing address
1253 Paris RdMayfield, KY 42066-4989
Phone 270-247-2455 · Fax 270-247-7841
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Registered Nurse providers in Mayfield, KY
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All 6 Registered Nurse providers in Mayfield · All 375 providers in Mayfield
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