Healthcare Provider Details

I. General information

NPI: 1588568307
Provider Name (Legal Business Name): MEGHAN ERICKSON RN, MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 MACHMUELLER ST
WESTON WI
54476-3811
US

IV. Provider business mailing address

1000 MACHMUELLER ST
WESTON WI
54476-3811
US

V. Phone/Fax

Practice location:
  • Phone: 715-359-0511
  • Fax: 715-359-0513
Mailing address:
  • Phone: 715-359-0511
  • Fax: 715-359-0513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number225772-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: