COURTNEY FAGAN REGISTERED NURSE
NPI 1972098697
Registered Nurse - Diabetes Educator in Racine, WI

Q: What is Courtney Fagan's NPI number?

The NPI number for Courtney Fagan is 1972098697. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Q: What is Courtney Fagan's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Fagan was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 25, 2018

3805 SPRING STREET, BLDG A - SUITE 311, RACINE, WI 53405(262) 687-6345 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Courtney Fagan Registered Nurse NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY FAGAN REGISTERED NURSE (NPI 1972098697) is an individual diabetes educator provider in Racine, Wisconsin, licensed in Wisconsin (184877-30) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1972098697

Entity TypeIndividualFemale

Primary Taxonomy163WD0400X

Provider Legal NameCOURTNEY FAGANCredential: REGISTERED NURSE

Location Address3805 SPRING STREET, BLDG A - SUITE 311Racine, WI 53405-1600

Mailing Address6316 37th AveKenosha, WI 53142-3364 · (262) 752-7240

Phone(262) 687-6345

Sole ProprietorYes

Enumeration DateJune 25, 2018

✔ NPI 1972098697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers

Taxonomy Code163WD0400X

License✔ Licensed in WI · 184877-30

3805 SPRING STREET, Racine, WI 53405

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Fagan's NPI number?

The NPI number for Courtney Fagan is 1972098697. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Courtney Fagan located?

Courtney Fagan practices at 3805 Spring Street Bldg A - Suite 311, Racine, WI 53405. The listed phone number is (262) 687-6345.

What is Courtney Fagan's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Courtney Fagan was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.