Healthcare Provider Details

I. General information

NPI: 1093280323
Provider Name (Legal Business Name): MEGAN PATRICE SCHROEDER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2018
Last Update Date: 06/15/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 W GUADALUPE RD STE 202
GILBERT AZ
85233-3327
US

IV. Provider business mailing address

20280 N 59TH AVE STE 115-617
GLENDALE AZ
85308-6850
US

V. Phone/Fax

Practice location:
  • Phone: 602-795-8700
  • Fax:
Mailing address:
  • Phone: 602-795-8700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number220105
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number220105
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN168459
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: