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NPI Code Detail

MEDICARE: MEGAN DANIELLE ABEL ANP-BC

MEDICARE: MEGAN DANIELLE ABEL ANP-BC
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 Practitioner3010400KY
2363LA2200XAdult Health Nurse Practitioner71006070AIN
3363L00000XNurse Practitioner71006070AIN
4363LA2200XAdult Health Nurse Practitioner28180181AIN
5363L00000XNurse Practitioner3010400KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2CS1805300401OTHERCARESOURCE ID
3000001010423OTHERANTHEM PIN
44879423OTHERAETNA PIN
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033574983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN DANIELLE ABEL ANP-BC
Provider Business Mailing Address
First Line : 6200 DUTCHMANS LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-3271
Country : US
Telephone Number : 502-456-6200
Fax Number : 502-456-6655
Provider Business Practice Location Address
First Line : 6200 DUTCHMANS LN
Second Line :
City : LOUISVILLE
State : KY
Zip : 40205-3271
Country : US
Telephone Number : 502-456-6200
Fax Number : 502-456-6655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2015
Last Update Date : 05/19/2026

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