Healthcare Provider Details

I. General information

NPI: 1285965095
Provider Name (Legal Business Name): JULIE D. MEGLER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/18/2010
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1442A WALNUT ST # 326
BERKELEY CA
94709-1405
US

IV. Provider business mailing address

1442A WALNUT ST # 326
BERKELEY CA
94709-1405
US

V. Phone/Fax

Practice location:
  • Phone: 415-857-4086
  • Fax:
Mailing address:
  • Phone: 415-857-4086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number19546
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704274912
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: