Healthcare Provider Details

I. General information

NPI: 1396872461
Provider Name (Legal Business Name): MEGAN PRESLEY PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18537 W CAROL AVE
WADDELL AZ
85355-4421
US

IV. Provider business mailing address

18537 W CAROL AVE
WADDELL AZ
85355-4421
US

V. Phone/Fax

Practice location:
  • Phone: 623-842-6445
  • Fax: 928-296-5259
Mailing address:
  • Phone: 623-842-6445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number320444
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: