Healthcare Provider Details

I. General information

NPI: 1821582685
Provider Name (Legal Business Name): MEGAN VOCK RN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN CORBETT RN

II. Dates (important events)

Enumeration Date: 06/15/2018
Last Update Date: 06/22/2021
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 MARTIN LUTHER KING JR WAY
TACOMA WA
98405-4265
US

IV. Provider business mailing address

1116 29TH AVE
SEATTLE WA
98122-5010
US

V. Phone/Fax

Practice location:
  • Phone: 253-596-3300
  • Fax:
Mailing address:
  • Phone: 360-317-6853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License NumberRN60551522
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAP60853384
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: