Healthcare Provider Details

I. General information

NPI: 1285726919
Provider Name (Legal Business Name): MEAGAN ANN CALDWELL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 11/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 NAT WASHINGTON WAY
EPHRATA WA
98823-1982
US

IV. Provider business mailing address

200 NAT WASHINGTON WAY
EPHRATA WA
98823-1982
US

V. Phone/Fax

Practice location:
  • Phone: 509-754-3330
  • Fax:
Mailing address:
  • Phone: 509-754-3330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP30007453
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN00157092
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: