Healthcare Provider Details

I. General information

NPI: 1245023597
Provider Name (Legal Business Name): MEGAN ANN WOJTON LPN, CDP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MISS MEGAN ANN POWELL

II. Dates (important events)

Enumeration Date: 05/28/2025
Last Update Date: 05/28/2025
Certification Date: 05/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 SILVER MAPLES DR
CHELSEA MI
48118-1186
US

IV. Provider business mailing address

100 SILVER MAPLES DR
CHELSEA MI
48118-1186
US

V. Phone/Fax

Practice location:
  • Phone: 734-475-1490
  • Fax: 734-475-7718
Mailing address:
  • Phone: 734-475-1490
  • Fax: 734-475-7718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number4703097689
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: