Doctor Name: | MRS. MEGAN RENEE MERRIGAN |
NPI Number: | 1134403884 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | A003612 |
Business Practice Address: | 1 Mercy Way Bella Vista, AR - 727143000 |
Business Phone Number: | 4798025555 |
Business Fax Number: | 4798762829 |
Mailing Address: | 1 Mercy Way, BELLA VISTA |
State: | AR |
Postal Code: | 727143000 |
Phone Number: | 4798025555 |
Fax Number: | 4798762829 |
NPI Enumeration Date: | 09/29/2011 |
NPI Last Update Date: | 12/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | A003612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |