Healthcare Provider Details

I. General information

NPI: 1093690885
Provider Name (Legal Business Name): MEGHAN YVONNE FRUHLING AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2025
Last Update Date: 08/09/2025
Certification Date: 08/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24496 CALLE SAN VICENTE
MURRIETA CA
92562-4347
US

IV. Provider business mailing address

24496 CALLE SAN VICENTE
MURRIETA CA
92562-4347
US

V. Phone/Fax

Practice location:
  • Phone: 951-445-3152
  • Fax:
Mailing address:
  • Phone: 951-445-3152
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95036202
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: