MEDICARE: MEGAN LEE STRACHAN B.S.N

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	652703	CA
2	163W00000X	Registered Nurse	RN528111L	PA

General Provider Information

NPI Number	:	1558323048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN LEE STRACHAN B.S.N

Provider Business Mailing Address
First Line	:	2703 APOLLO DR
Second Line	:
City	:	BARSTOW
State	:	CA
Zip	:	92311-9761
Country	:	US
Telephone Number	:	760-253-3816
Fax Number	:

Provider Business Practice Location Address
First Line	:	DR. MARY WALKER CLINIC
Second Line	:	BLDG 170
City	:	FORT IRWIN
State	:	CA
Zip	:	92310
Country	:	US
Telephone Number	:	760-380-4766
Fax Number	:

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	07/08/2007

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