Healthcare Provider Details

I. General information

NPI: 1689988222
Provider Name (Legal Business Name): MEGAN H SWANK AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN H SWANK-MEITZ

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 LAKESIDE DR
RENO NV
89509-3409
US

IV. Provider business mailing address

1701 LAKESIDE DR
RENO NV
89509-3409
US

V. Phone/Fax

Practice location:
  • Phone: 775-322-3269
  • Fax: 775-322-8856
Mailing address:
  • Phone: 775-322-3269
  • Fax: 775-322-8856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA-229
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA-229
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: