Miss Meghan Marie Madea
Nurse Practitioner - Women's Health
2500 Peres Ave
Memphis
, Tennessee 38108-1660
Miss Meghan Marie Madea
Nurse Practitioner - Women's Health
2500 Peres Ave
Memphis
, Tennessee 38108-1660
(901) 545-8336
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Miss Meghan Marie Madea
- 877 Jefferson Ave Attn: Provider Enrollment
- Memphis, TN
- Zip : 38103-2807
- Phone : (901) 545-8336
Second Address
- Miss Meghan Marie Madea
- 2500 Peres Ave
- Memphis, TN
- Zip : 38108-1660
- Fax : (901) 458-5591
- Phone : (901) 515-5500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LW0102X | Nurse Practitioner - Women's Health | 0064 | MP |
National Provider Identifier
| NPI | 1033397880 |
|---|---|
| Provider Name | Miss Meghan Marie Madea |
| First Address | Memphis, TN 38103-2807 |
| Second Address | Memphis, TN 38108-1660 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/02/2008 |
| Last Update Date | 03/12/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.