MEDICARE: MEGAN SUE HARKEY CNP

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	2011003767	MO
2	363L00000X	Nurse Practitioner	2015036192	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2015036192	OTHER	MO	MISSOURI STATE BOARD OF NURSING

General Provider Information

NPI Number	:	1801385471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN SUE HARKEY CNP

Provider Business Mailing Address
First Line	:	70 JUNGERMANN CIR STE 302
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-1637
Country	:	US
Telephone Number	:	636-720-0310
Fax Number	:	636-720-0311

Provider Business Practice Location Address
First Line	:	70 JUNGERMANN CIR STE 302
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-1637
Country	:	US
Telephone Number	:	636-720-0310
Fax Number	:	636-720-0311

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

Provider Enumeration Date	:	05/09/2018
Last Update Date	:	02/09/2026

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