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NPI Code Detail

MEDICARE: MRS. MEGAN ANN GERAGE APRN

MEDICARE: MRS. MEGAN ANN GERAGE APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse PractitionerAPRN9474553FL
2363LA2200XAdult Health Nurse Practitioner209-004726IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023171535
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN ANN GERAGE APRN
Provider Business Mailing Address
First Line : 2995 DREW ST FL 2
Second Line :
City : CLEARWATER
State : FL
Zip : 33759-3012
Country : US
Telephone Number : 727-315-6775
Fax Number :
Provider Business Practice Location Address
First Line : 1200 7TH AVE N
Second Line :
City : SAINT PETERSBURG
State : FL
Zip : 33705-1300
Country : US
Telephone Number : 727-820-7737
Fax Number : 727-502-4040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 09/06/2024

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