Healthcare Provider Details

I. General information

NPI: 1992323018
Provider Name (Legal Business Name): MEGAN LOUISE BEDKER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2020
Last Update Date: 07/07/2020
Certification Date: 07/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3003 80TH AVE SE
MERCER ISLAND WA
98040-2915
US

IV. Provider business mailing address

909 5TH AVE UNIT 205
SEATTLE WA
98164-2006
US

V. Phone/Fax

Practice location:
  • Phone: 206-580-0668
  • Fax:
Mailing address:
  • Phone: 231-649-1663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAP61041126
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: