MEDICARE: VOYAGER MONTESSORI ACADEMY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse

General Provider Information

NPI Number	:	1295669018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VOYAGER MONTESSORI ACADEMY

Provider Business Mailing Address
First Line	:	1740 W EVERMAN PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76134-4807
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1740 W EVERMAN PKWY
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76134-4807
Country	:	US
Telephone Number	:	732-882-2418
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. ABIMBOLA FAGUN
Credential	:
Telephone Number	:	732-882-2418

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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