Healthcare Provider Details

I. General information

NPI: 1740766138
Provider Name (Legal Business Name): MEGAN OWENS WOODARD FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2018
Last Update Date: 01/29/2025
Certification Date: 01/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9660 E 146TH ST STE 300
NOBLESVILLE IN
46060-3095
US

IV. Provider business mailing address

9660 E 146TH ST STE 300
NOBLESVILLE IN
46060-3095
US

V. Phone/Fax

Practice location:
  • Phone: 317-774-1200
  • Fax:
Mailing address:
  • Phone: 317-774-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28210127A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: