MEDICARE: MEEGAN D. PAGE ARNP

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	367A00000X	Advanced Practice Midwife	1130652	FL
2	363LW0102X	Women's Health Nurse Practitioner	1130652	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184607939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEEGAN D. PAGE ARNP

Provider Business Mailing Address
First Line	:	14548 CALUSA PALMS DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-7769
Country	:	US
Telephone Number	:	941-313-9894
Fax Number	:	941-866-8111

Provider Business Practice Location Address
First Line	:	14548 CALUSA PALMS DR
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-7769
Country	:	US
Telephone Number	:	941-313-9894
Fax Number	:	941-866-8111

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

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	06/18/2014

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