MEDICARE: LETITIA MEGLAN CRNA PC

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	207L00000X	Anesthesiology Physician	CRNA00580	NM

General Provider Information

NPI Number	:	1730550880
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LETITIA MEGLAN CRNA PC

Provider Business Mailing Address
First Line	:	8915 N OAKLAND CT NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87122-3968
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9551 PASEO DEL NORTE NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87122-2975
Country	:	US
Telephone Number	:	505-350-6717
Fax Number	:

Authorized Official
Title or Position	:	REVENUE CYCLE MANAGER
Name	:	LAKEITHA C BURTON
Credential	:
Telephone Number	:	505-539-5290

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	03/26/2026

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