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Physician Compare National (NPI:1982115085)

HEALTHCARE PROVIDER: MEGAN AMBER HADEN FNP-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1982115085
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5092070797
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20181123000091
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name HADEN
Individual professional last name
Provider First Name MEGAN
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2017
Individual professional's medical school graduation year
Primary Specialty NURSE PRACTITIONER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 6239 E BROWN RD
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 115
Group Practice or individual's line 2 address
City MESA
Group Practice or individual's city
State AZ
Group Practice or individual's state
Zip Code 852054933
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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