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NPI Code Detail

MEDICARE: MEGAN LYNN CARROLL FNP

MEDICARE: MEGAN LYNN CARROLL FNP
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
1163W00000XRegistered NurseR190504MD
2363LF0000XFamily Nurse PractitionerR190504MD

General Provider Information

NPI Number : 1952737421
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN LYNN CARROLL FNP
Provider Business Mailing Address
First Line : 520 UPPER CHESAPEAKE DR STE 206
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4360
Country : US
Telephone Number : 410-879-9100
Fax Number : 410-879-0227
Provider Business Practice Location Address
First Line : 520 UPPER CHESAPEAKE DR STE 206
Second Line :
City : BEL AIR
State : MD
Zip : 21014-4360
Country : US
Telephone Number : 410-879-9100
Fax Number : 410-879-0227
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2013
Last Update Date : 03/17/2018

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Directions to “ MEGAN LYNN CARROLL FNP” Practice Location

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