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General NPI Number Information
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NPI Number | 1295472090
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Entity Type | Individual
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Provider Name | MEGANNE MANNON ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/13/2022
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 89 ALAFAYA WOODS BLVD STE 1033
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City | OVIEDO
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State | FL
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Zip | 32765-6235
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Country | US
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Telephone | 850-218-2039
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Fax |
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Provider Business Mailing Address
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Address Line | 2407 FOLIAGE OAK TER
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City | OVIEDO
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State | FL
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Zip | 32766-7025
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Country | US
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Telephone | 850-218-2039
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11019667
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11019667
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License Number State | FL
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