Healthcare Provider Details

I. General information

NPI: 1326972936
Provider Name (Legal Business Name): MEGAN MARIE NELSON RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3476 S UNIVERSITY DR
DAVIE FL
33328-2000
US

IV. Provider business mailing address

4020 SW 82ND TER
DAVIE FL
33328-2949
US

V. Phone/Fax

Practice location:
  • Phone: 954-475-4400
  • Fax:
Mailing address:
  • Phone: 954-702-1156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: