Healthcare Provider Details

I. General information

NPI: 1801702535
Provider Name (Legal Business Name): MEGAN RENEE PALMER CSFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1125 W JEFFERSON ST
FRANKLIN IN
46131-2140
US

IV. Provider business mailing address

4180 HAYDEN VALLEY DR
BARGERSVILLE IN
46106-5589
US

V. Phone/Fax

Practice location:
  • Phone: 317-736-3300
  • Fax:
Mailing address:
  • Phone: 317-413-7064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: