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General NPI Number Information
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NPI Number | 1659733244
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Entity Type | Individual
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Provider Name | MEGAN KATHLEEN HACKER APRN
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Gender | Female
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 2956 LINWOOD AVE
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City | CINCINNATI
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State | OH
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Zip | 45208-2827
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Country | US
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Telephone | 513-833-1619
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Fax |
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Provider Business Mailing Address
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Address Line | 9700 N 91ST ST STE A115
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5036
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Country | US
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Telephone | 513-833-1619
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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 | 19021
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License Number State | OH
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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 | RN.382612
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3010220
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 273660
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License Number State | AZ
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