Healthcare Provider Details

I. General information

NPI: 1699693937
Provider Name (Legal Business Name): MEAGAN STEAD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 BARTLETT ST
HOMER AK
99603-7000
US

IV. Provider business mailing address

1401 CANDLELIGHT CT
HOMER AK
99603-0020
US

V. Phone/Fax

Practice location:
  • Phone: 925-698-7204
  • Fax:
Mailing address:
  • Phone: 925-698-7204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number256975
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: