MEDICARE: MEGHAN LEAH WHIPPLE NP

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
1	363L00000X	Nurse Practitioner	4704340511	MI

General Provider Information

NPI Number	:	1114679487
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN LEAH WHIPPLE NP

Provider Business Mailing Address
First Line	:	3140 W CAMPUS DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2776
Country	:	US
Telephone Number	:	989-667-2370
Fax Number	:	989-671-9275

Provider Business Practice Location Address
First Line	:	3140 W CAMPUS DR
Second Line	:
City	:	BAY CITY
State	:	MI
Zip	:	48706-2776
Country	:	US
Telephone Number	:	989-667-2370
Fax Number	:	989-671-9275

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2022
Last Update Date	:	01/05/2026

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