Healthcare Provider Details

I. General information

NPI: 1689158040
Provider Name (Legal Business Name): MEGAN ELIZABETH O'NEAL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN ELIZABETH IMOEHL ARNP

II. Dates (important events)

Enumeration Date: 09/21/2018
Last Update Date: 02/04/2022
Certification Date: 02/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1631 LOGAN AVE
WATERLOO IA
50703
US

IV. Provider business mailing address

PO BOX 2758
WATERLOO IA
50704-2758
US

V. Phone/Fax

Practice location:
  • Phone: 319-833-5381
  • Fax:
Mailing address:
  • Phone: 319-833-5381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberA127719
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA127719
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: