Healthcare Provider Details

I. General information

NPI: 1164831475
Provider Name (Legal Business Name): MEGAN HOHL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN GRAY NP

II. Dates (important events)

Enumeration Date: 08/12/2014
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2909 E GRAND RIVER AVE STE 302
LANSING MI
48912-4335
US

IV. Provider business mailing address

2909 E GRAND RIVER AVE STE 302
LANSING MI
48912-4335
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-8680
  • Fax:
Mailing address:
  • Phone: 517-364-8680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704277876
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: