| Doctor Name: | MRS. MEGAN REKLIS CAUDLE |
| NPI Number: | 1215362413 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP |
| License Number: | 214406 |
| Business Practice Address: | 2340 Bethel Church Rd Yadkinville, NC - 270556112 |
| Business Phone Number: | 3369715330 |
| Business Fax Number: | |
| Mailing Address: | 2340 Bethel Church Rd, YADKINVILLE |
| State: | NC |
| Postal Code: | 270556112 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/06/2013 |
| NPI Last Update Date: | 09/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 214406 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |