Healthcare Provider Details

I. General information

NPI: 1356681050
Provider Name (Legal Business Name): MEGAN C MILTON ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN C STEWART ARNP

II. Dates (important events)

Enumeration Date: 02/18/2013
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4215 KELSON AVE STE E
MARIANNA FL
32446-6555
US

IV. Provider business mailing address

4215 KELSON AVE STE E
MARIANNA FL
32446-6555
US

V. Phone/Fax

Practice location:
  • Phone: 850-526-3434
  • Fax: 850-526-7743
Mailing address:
  • Phone: 850-526-3434
  • Fax: 850-526-7743

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9291738
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberARNP9291738
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9291738
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: