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NPI Code Detail

MEDICARE: MEGAN GROGAN CRNA

MEDICARE: MEGAN GROGAN 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
1367500000XCertified Registered Nurse Anesthetist128363NC
2367500000XCertified Registered Nurse Anesthetist0024186959VA

General Provider Information

NPI Number : 1699393504
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN GROGAN CRNA
Provider Business Mailing Address
First Line : 180 CAPITAL DR
Second Line :
City : HAMPSTEAD
State : NC
Zip : 28443-1109
Country : US
Telephone Number : 973-998-1910
Fax Number :
Provider Business Practice Location Address
First Line : 2131 S 17TH ST
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-7407
Country : US
Telephone Number : 910-667-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2020
Last Update Date : 02/02/2026

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Directions to “ MEGAN GROGAN CRNA” Practice Location

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