| NPI | 1588097091 |
|---|---|
| Former Name | MEGAN TREACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP2736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1627632) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0991242-NP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R189990-6) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MN CNP2736) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2018-03-17 |