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NPI Code Detail

MEDICARE: MEGAN DABERKO NP

MEDICARE: MEGAN DABERKO 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
1163WE0003XEmergency Registered Nurse28219961AIN
2363LF0000XFamily Nurse Practitioner71009352AIN

General Provider Information

NPI Number : 1366900599
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN DABERKO NP
Provider Business Mailing Address
First Line : 6626 E 75TH ST STE 500
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46250-2890
Country : US
Telephone Number : 317-621-7547
Fax Number :
Provider Business Practice Location Address
First Line : 200 ENTERPRISE DR STE A
Second Line :
City : PENDLETON
State : IN
Zip : 46064-9038
Country : US
Telephone Number : 765-298-4567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2019
Last Update Date : 10/09/2025

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Directions to “ MEGAN DABERKO NP” Practice Location

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