Healthcare Provider Details

I. General information

NPI: 1932524477
Provider Name (Legal Business Name): MEGAN NADINE ZAEPFEL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2014
Last Update Date: 09/20/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 EVELYN DR
COLUMBIA SC
29210-5213
US

IV. Provider business mailing address

409 EVELYN DR
COLUMBIA SC
29210-5212
US

V. Phone/Fax

Practice location:
  • Phone: 803-216-0850
  • Fax: 803-216-0420
Mailing address:
  • Phone: 803-216-0850
  • Fax: 803-216-0420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number18702
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number18702
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: