Healthcare Provider Details
I. General information
NPI: 1366680720
Provider Name (Legal Business Name): MEGAN H. NELSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/23/2009
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
13400 E SHEA BLVD
SCOTTSDALE AZ
85259-5452
US
IV. Provider business mailing address
PO BOX 860912
MINNEAPOLIS MN
55486-0912
US
V. Phone/Fax
- Phone: 480-301-8000
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 61154 |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208600000X |
| Taxonomy | Surgery Physician |
| License Number | 47959 |
| License Number State | AZ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: