| Doctor Name: | MEAGAN BAMBA-ADA |
| NPI Number: | 1568874345 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | NP-127 |
| Business Practice Address: | 520 W Santa Monica Ave Dededo, GU - 969295286 |
| Business Phone Number: | 6716876235 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2647, HAGATNA |
| State: | GU |
| Postal Code: | 96932 |
| Phone Number: | 6716876235 |
| Fax Number: | |
| NPI Enumeration Date: | 05/28/2014 |
| NPI Last Update Date: | 05/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP-127 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GU |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |