Healthcare Provider Details

I. General information

NPI: 1245990365
Provider Name (Legal Business Name): MEGAN NICOLE CATE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2021
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HURLEY PLZ # 7B
FLINT MI
48503-5902
US

IV. Provider business mailing address

1 HURLEY PLAZA ATTN PROFESSIONAL BILLING DEPT
FLINT MI
48503-5902
US

V. Phone/Fax

Practice location:
  • Phone: 810-262-9355
  • Fax: 810-262-6341
Mailing address:
  • Phone: 810-262-9255
  • Fax: 810-262-7317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.007980
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: