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NPI Code Detail

MEDICARE: MRS. MEGHAN ANDERSON A.R.N.P.

MEDICARE: MRS. MEGHAN ANDERSON A.R.N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP9230373FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ARNP9230373OTHERFLLICENSE

General Provider Information

NPI Number : 1114029782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGHAN ANDERSON A.R.N.P.
Provider Business Mailing Address
First Line : 340 16TH AVE N
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-4819
Country : US
Telephone Number : 904-247-1911
Fax Number : 904-247-9736
Provider Business Practice Location Address
First Line : 340 16TH AVE N
Second Line :
City : JACKSONVILLE BEACH
State : FL
Zip : 32250-4819
Country : US
Telephone Number : 904-247-1911
Fax Number : 904-247-9736
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2006
Last Update Date : 07/08/2007

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