Healthcare Provider Details

I. General information

NPI: 1134609324
Provider Name (Legal Business Name): MEGAN ROCHELLE WOOD PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN ROCHELLE ROBISON PMHNP

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 E 5TH ST STE 308
WASHINGTON MO
63090-3130
US

IV. Provider business mailing address

10420 OLD OLIVE STREET RD STE 205
SAINT LOUIS MO
63141-5937
US

V. Phone/Fax

Practice location:
  • Phone: 636-432-5500
  • Fax:
Mailing address:
  • Phone: 314-504-4698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF02181208
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2018038493
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: