Healthcare Provider Details

I. General information

NPI: 1255987517
Provider Name (Legal Business Name): MEAGHAN SANDRA LOUISE LAUF SKEEN RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2019
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 MAIN ST STE A
BEN LOMOND CA
95005-9394
US

IV. Provider business mailing address

PO BOX 542
SANTA CRUZ CA
95061-0542
US

V. Phone/Fax

Practice location:
  • Phone: 831-427-3500
  • Fax: 831-457-2486
Mailing address:
  • Phone: 831-427-3500
  • Fax: 831-427-7785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number95012424
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95137673
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: