Doctor Name: | MRS. MEGAN A RAY |
NPI Number: | 1154755254 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP-APRN |
License Number: | 2013027236 |
Business Practice Address: | 54 Hospital Dr Suite 201 Osage Beach, MO - 650653050 |
Business Phone Number: | 5733022764 |
Business Fax Number: | 5733022767 |
Mailing Address: | Po Box 1500, OSAGE BEACH |
State: | MO |
Postal Code: | 650651500 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/26/2013 |
NPI Last Update Date: | 08/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 2013027236 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |