Healthcare Provider Details

I. General information

NPI: 1992228555
Provider Name (Legal Business Name): MEGAN BROOKE HAMBEL ARNP, FNP C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2017
Last Update Date: 09/03/2020
Certification Date: 09/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8725 N WICKHAM RD STE 302
MELBOURNE FL
32940-2240
US

IV. Provider business mailing address

3300 S FISKE BLVD
ROCKLEDGE FL
32955-4306
US

V. Phone/Fax

Practice location:
  • Phone: 321-434-9265
  • Fax:
Mailing address:
  • Phone: 321-434-9265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9369400
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: