Healthcare Provider Details

I. General information

NPI: 1184145096
Provider Name (Legal Business Name): MEGAN SIMPSON NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2017
Last Update Date: 06/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 S 16TH ST
LINCOLN NE
68502-3704
US

IV. Provider business mailing address

5509 OLDHAM ST
LINCOLN NE
68506-1350
US

V. Phone/Fax

Practice location:
  • Phone: 402-481-4167
  • Fax: 402-481-5100
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number112253
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: