Healthcare Provider Details

I. General information

NPI: 1295074052
Provider Name (Legal Business Name): MEGAN ELAINE MCDONALD CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2013
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 PARKDALE PL STE K
INDIANAPOLIS IN
46254-4697
US

IV. Provider business mailing address

6620 PARKDALE PL STE K
INDIANAPOLIS IN
46254-4697
US

V. Phone/Fax

Practice location:
  • Phone: 317-437-3681
  • Fax:
Mailing address:
  • Phone: 317-437-3681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number09000228A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: