Healthcare Provider Details

I. General information

NPI: 1619825197
Provider Name (Legal Business Name): MEGAN E MADDEN FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 1ST ST NE
SPRINGHILL LA
71075-3217
US

IV. Provider business mailing address

963 HIGHWAY 79
MINDEN LA
71055-8129
US

V. Phone/Fax

Practice location:
  • Phone: 318-588-8871
  • Fax:
Mailing address:
  • Phone: 318-268-9217
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number243140
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: