Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.11554 | OH |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APRN.CNP.11554 | OH |
NPI | 1023334893 |
---|---|
Provider Name | Megan Brittany Arbogast |
First Address | Kettering, OH 45429-1221 |
Second Address | Kettering, OH 45429-1221 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2010 |
Last Update Date | 18/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3131006 | (05) | OH |