Healthcare Provider Details

I. General information

NPI: 1487565347
Provider Name (Legal Business Name): MEGAN THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1389 HUFFMAN PARK DR STE 202
ANCHORAGE AK
99515-3534
US

IV. Provider business mailing address

10671 CUTTER CIR
ANCHORAGE AK
99515-2725
US

V. Phone/Fax

Practice location:
  • Phone: 907-212-3420
  • Fax:
Mailing address:
  • Phone: 907-212-3420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number128266
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: