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NPI Code Detail

MEDICARE: MEGAN MUENCHOW NP

MEDICARE:   MEGAN  MUENCHOW  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
1363LF0000XFamily Nurse Practitioner11023040FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841903028
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN MUENCHOW NP
Provider Business Mailing Address
First Line : 15634 ROSE GROVE DR
Second Line :
City : BRADENTON
State : FL
Zip : 34212-3702
Country : US
Telephone Number : 918-637-9745
Fax Number :
Provider Business Practice Location Address
First Line : 8441 HONORE AVE
Second Line :
City : BRADENTON
State : FL
Zip : 34201-2011
Country : US
Telephone Number : 941-698-6020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2023
Last Update Date : 01/03/2023

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