MEGHAN MARIE MADEA

MEMPHIS, TN
NPI1033397880
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: TN  16959)
Additional Taxonomies363LW0102X Nurse Practitioner, Women's Health
(Licence: MP  0064)
Enumeration Date2008-02-04
Last Update Date2014-12-03
Business Address
Miss MEGHAN MARIE MADEA CNM, NP
2500 PERES AVE
MEMPHIS, TN 38108-1660
Phone number: 901-515-5500
Mailing Address
Miss MEGHAN MARIE MADEA CNM, NP
877 JEFFERSON AVE ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 38103-2807
Phone number: 901-545-8336