Healthcare Provider Details

I. General information

NPI: 1518614312
Provider Name (Legal Business Name): MEGAN N YEAGER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN NICHOLE WHARY

II. Dates (important events)

Enumeration Date: 03/02/2022
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

954 ISABEL DR
LEBANON PA
17042-7482
US

IV. Provider business mailing address

601 MEMORY LN
YORK PA
17402-2231
US

V. Phone/Fax

Practice location:
  • Phone: 717-376-1180
  • Fax: 717-273-6937
Mailing address:
  • Phone: 717-851-1405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP025405
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: