Healthcare Provider Details

I. General information

NPI: 1245693779
Provider Name (Legal Business Name): MEGAN BRITTNEY LANCE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 GANDY RD SW
PALM BAY FL
32908-1275
US

IV. Provider business mailing address

2110 GANDY RD SW
PALM BAY FL
32908-1275
US

V. Phone/Fax

Practice location:
  • Phone: 321-720-8215
  • Fax:
Mailing address:
  • Phone: 321-720-8215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN11046897
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: