MEDICARE: MISS MEGAN SHORT 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	163W00000X	Registered Nurse	R0137508	OK

General Provider Information

NPI Number	:	1558012856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MEGAN SHORT RN

Provider Business Mailing Address
First Line	:	1410 CARLISLE CT
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-1608
Country	:	US
Telephone Number	:	405-613-3471
Fax Number	:

Provider Business Practice Location Address
First Line	:	1410 CARLISLE CT
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73120-1608
Country	:	US
Telephone Number	:	405-613-3471
Fax Number	:

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

Provider Enumeration Date	:	01/18/2022
Last Update Date	:	01/18/2022

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