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NPI Code Detail

MEDICARE: MEGAN PANGUS

MEDICARE: MEGAN PANGUS
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
1363L00000XNurse Practitioner71018227AIN

General Provider Information

NPI Number : 1225962483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN PANGUS
Provider Business Mailing Address
First Line : PO BOX 120
Second Line :
City : SMITHVILLE
State : IN
Zip : 47458-0120
Country : US
Telephone Number : 602-540-7501
Fax Number :
Provider Business Practice Location Address
First Line : 2701 E 3RD ST
Second Line :
City : BLOOMINGTON
State : IN
Zip : 47401-5433
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ MEGAN PANGUS ” Practice Location

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