Doctor Name: | MEGAN LEE DECKER |
NPI Number: | 1326450172 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | A117918 |
Business Practice Address: | 1200 N 7th St Chariton, IA - 500491210 |
Business Phone Number: | 6417743000 |
Business Fax Number: | |
Mailing Address: | 2931 330th St, CRESTON |
State: | IA |
Postal Code: | 508017517 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/28/2014 |
NPI Last Update Date: | 07/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A117918 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |