MEDICARE: ELIZABETH MEGAN EIDSON RN

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	163WX0003X	Inpatient Obstetric Registered Nurse	1079805	TX

General Provider Information

NPI Number	:	1255263331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH MEGAN EIDSON RN

Provider Business Mailing Address
First Line	:	724 N MCKOWN AVE
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-5516
Country	:	US
Telephone Number	:	469-500-3380
Fax Number	:

Provider Business Practice Location Address
First Line	:	724 N MCKOWN AVE
Second Line	:
City	:	SHERMAN
State	:	TX
Zip	:	75092-5516
Country	:	US
Telephone Number	:	469-500-3380
Fax Number	:

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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