Healthcare Provider Details

I. General information

NPI: 1891500211
Provider Name (Legal Business Name): MEGAN FLYNN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/12/2025
Last Update Date: 02/12/2025
Certification Date: 02/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

608 WRIGHT AVE
ALMA MI
48801-1617
US

IV. Provider business mailing address

608 WRIGHT AVE
ALMA MI
48801-1617
US

V. Phone/Fax

Practice location:
  • Phone: 989-466-4143
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704412565
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: