Healthcare Provider Details

I. General information

NPI: 1568267375
Provider Name (Legal Business Name): ELISABETH GRACE FAGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1627 N 14TH ST
LINCOLN NE
68508-1021
US

IV. Provider business mailing address

1627 N 14TH ST
LINCOLN NE
68508-1021
US

V. Phone/Fax

Practice location:
  • Phone: 402-840-5181
  • Fax:
Mailing address:
  • Phone: 402-840-5181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: