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NPI Code Detail

MEDICARE: MEGAN RAQUEL MCGEORGE NP-C

MEDICARE: MEGAN RAQUEL MCGEORGE NP-C
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
1363L00000XNurse Practitioner1194360TX
2363L00000XNurse Practitioner24119TN
3363L00000XNurse PractitionerAPRN.CNP.0038495OH
4363L00000XNurse Practitioner5021614NC
5363L00000XNurse PractitionerGAA-NP004357GA
6363L00000XNurse Practitioner29502SC
7363L00000XNurse Practitioner3-001685AL
8363L00000XNurse PractitionerAPRN11031665FL

General Provider Information

NPI Number : 1588154009
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN RAQUEL MCGEORGE NP-C
Provider Business Mailing Address
First Line : PO BOX 211699
Second Line :
City : EAGAN
State : MN
Zip : 55121-3699
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Provider Business Practice Location Address
First Line : 3200 W END AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-1330
Country : US
Telephone Number : 866-849-0692
Fax Number : 888-973-8821
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2018
Last Update Date : 01/14/2026

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