Healthcare Provider Details

I. General information

NPI: 1962957449
Provider Name (Legal Business Name): MEGAN FROHM NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2016
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 WESVILL CT
RALEIGH NC
27607-0058
US

IV. Provider business mailing address

3406 BRADLEY PL
RALEIGH NC
27607-6802
US

V. Phone/Fax

Practice location:
  • Phone: 919-985-1220
  • Fax:
Mailing address:
  • Phone: 703-447-5201
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5020431
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: