Provider Demographics
NPI:1144811746
Name:FAGNANT, HENRY B (PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:HENRY
Middle Name:B
Last Name:FAGNANT
Suffix:
Gender:M
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4155 E JEWELL AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-4510
Mailing Address - Country:US
Mailing Address - Phone:720-310-2773
Mailing Address - Fax:
Practice Address - Street 1:5931 MIDDLEFIELD RD STE 103
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-2865
Practice Address - Country:US
Practice Address - Phone:720-503-1403
Practice Address - Fax:720-991-1349
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0997689-NP363LP0808X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health