Healthcare Provider Details

I. General information

NPI: 1386184521
Provider Name (Legal Business Name): MEGAN M MENARD FNP-BC, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2017
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S BERNARD ST STE 100
SPOKANE WA
99204-2511
US

IV. Provider business mailing address

501 S BERNARD ST STE 205
SPOKANE WA
99204-2508
US

V. Phone/Fax

Practice location:
  • Phone: 509-701-7651
  • Fax: 509-279-2636
Mailing address:
  • Phone: 509-838-5800
  • Fax: 509-992-1158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberL-94269
License Number StateZZ
# 2
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAP70014201
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN606161406
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: