MEDICARE: MEGAN KOPRIVA 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
1	363LW0102X	Women's Health Nurse Practitioner	11036019	FL

General Provider Information

NPI Number	:	1780406868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN KOPRIVA NP

Provider Business Mailing Address
First Line	:	2631 E OAKLAND PARK BLVD STE 110
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1607
Country	:	US
Telephone Number	:	954-514-7306
Fax Number	:

Provider Business Practice Location Address
First Line	:	2631 E OAKLAND PARK BLVD STE 110
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1607
Country	:	US
Telephone Number	:	954-514-7306
Fax Number	:

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

Provider Enumeration Date	:	10/29/2024
Last Update Date	:	10/21/2025

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