MEDICARE: MEAGAN BEHRMAN

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	163W00000X	Registered Nurse	891548	TX
2	363LP0200X	Pediatric Nurse Practitioner	APRN11038823	FL

General Provider Information

NPI Number	:	1407591100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEAGAN BEHRMAN

Provider Business Mailing Address
First Line	:	1679 EAGLE HARBOR PKWY STE B
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-4816
Country	:	US
Telephone Number	:	210-260-3993
Fax Number	:

Provider Business Practice Location Address
First Line	:	1679 EAGLE HARBOR PKWY STE B
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-4816
Country	:	US
Telephone Number	:	904-264-1958
Fax Number	:

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

Provider Enumeration Date	:	04/28/2022
Last Update Date	:	06/10/2025

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Directions to “ MEAGAN BEHRMAN ” Practice Location

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