Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Devona L. Fagan, NP

Individual provider Emergency Registered Nurse · NPI 1013167402

Mrs. Devona L. Fagan, NP is an Emergency Registered Nurse in Boulder City, Nevada. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

895 Adams Blvd
Boulder City, NV 89005-2235
Phone: (702) 293-0406
Fax: (702) 293-0192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 17793 (CA)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence NP17793 (CA)

Record details

NPI number1013167402
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedSeptember 23, 2008
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023