Healthcare Provider Details

I. General information

NPI: 1710816285
Provider Name (Legal Business Name): MEGAN MCGILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 HARVARD ST SE
MINNEAPOLIS MN
55455-0353
US

IV. Provider business mailing address

629 PARK VALLEY DR W
HOPKINS MN
55343-7740
US

V. Phone/Fax

Practice location:
  • Phone: 800-598-8636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License Number2277569
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: