Healthcare Provider Details

I. General information

NPI: 1588987523
Provider Name (Legal Business Name): MEGAN K EBRIGHT CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2010
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 E UWCHLAN AVE
EXTON PA
19341-1206
US

IV. Provider business mailing address

508 WORINGTON DR
WEST CHESTER PA
19382-6602
US

V. Phone/Fax

Practice location:
  • Phone: 610-594-1931
  • Fax:
Mailing address:
  • Phone: 484-744-1537
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP024290
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0012214
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN601942
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: