Healthcare Provider Details

I. General information

NPI: 1144149808
Provider Name (Legal Business Name): MEGHAN GUTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 APPENZELL LN
NEW BERN NC
28562-8966
US

IV. Provider business mailing address

107 APPENZELL LN
NEW BERN NC
28562-8966
US

V. Phone/Fax

Practice location:
  • Phone: 252-639-8920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: