MEDICARE: MEAGAN ROSE HEDGER

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	176B00000X	Midwife
2	374J00000X	Doula

General Provider Information

NPI Number	:	1255990636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN ROSE HEDGER

Provider Business Mailing Address
First Line	:	5039 PORT ST JOE ST
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32526-5093
Country	:	US
Telephone Number	:	850-490-0897
Fax Number	:

Provider Business Practice Location Address
First Line	:	5039 PORT ST JOE ST
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32526-5093
Country	:	US
Telephone Number	:	850-490-0897
Fax Number	:

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

Provider Enumeration Date	:	06/10/2019
Last Update Date	:	10/27/2023

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Directions to “ MEAGAN ROSE HEDGER ” Practice Location

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