Healthcare Provider Details

I. General information

NPI: 1245146422
Provider Name (Legal Business Name): DANIELLE MEGNO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2624 TIMBER DR STE 327
GARNER NC
27529-2571
US

IV. Provider business mailing address

2624 TIMBER DR STE 327
GARNER NC
27529-2571
US

V. Phone/Fax

Practice location:
  • Phone: 984-789-0182
  • Fax:
Mailing address:
  • Phone: 984-789-0182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberK3R7C7Z9
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: