Healthcare Provider Details

I. General information

NPI: 1407268295
Provider Name (Legal Business Name): MEGAN ELIZABETH MASTERSON AUD, CCC-A, F-AAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2014
Last Update Date: 05/10/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8935 S PECOS RD STE 21A
HENDERSON NV
89074-7155
US

IV. Provider business mailing address

8935 S PECOS RD STE 21A
HENDERSON NV
89074-7155
US

V. Phone/Fax

Practice location:
  • Phone: 702-456-1110
  • Fax:
Mailing address:
  • Phone: 702-456-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberA-2111
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-2111
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: