Healthcare Provider Details

I. General information

NPI: 1477480093
Provider Name (Legal Business Name): MEGAN NICOLE LITTLE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DRIVE MC CA410
HERSHEY PA
17033
US

IV. Provider business mailing address

500 UNIVERSITY DRIVE MC CA410
HERSHEY PA
17033
US

V. Phone/Fax

Practice location:
  • Phone: 800-243-1455
  • Fax:
Mailing address:
  • Phone: 800-243-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP035903
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: