MEDICARE: MEGAN BRECKON FNP

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
1	363LF0000X	Family Nurse Practitioner	332984	AZ

General Provider Information

NPI Number	:	1023835881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN BRECKON FNP

Provider Business Mailing Address
First Line	:	PO BOX 932958
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-0028
Country	:	US
Telephone Number	:	480-809-2409
Fax Number	:

Provider Business Practice Location Address
First Line	:	6740 SOUTH HIGLEY RD
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85298
Country	:	US
Telephone Number	:	480-809-2409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2024
Last Update Date	:	12/19/2025

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Directions to “ MEGAN BRECKON FNP” Practice Location

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