MEDICARE: MEGAN GONZALEZ APRN.CRNA

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	367500000X	Certified Registered Nurse Anesthetist	APRN.CRNA.019355	OH

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	:	1215483672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN GONZALEZ APRN.CRNA

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:	614-544-6370

Provider Business Practice Location Address
First Line	:	111 S GRANT AVE, 3RD FL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-4701
Country	:	US
Telephone Number	:	614-566-9871
Fax Number	:

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

Provider Enumeration Date	:	08/26/2016
Last Update Date	:	01/14/2026

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