Provider Demographics
NPI:1073247466
Name:WEGMAN, MEGAN (PNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:WEGMAN
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:ZWETSLOOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1209 PARKTOP DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2137
Mailing Address - Country:US
Mailing Address - Phone:559-892-8950
Mailing Address - Fax:
Practice Address - Street 1:908 S WILLIAMSON AVE
Practice Address - Street 2:
Practice Address - City:ELON
Practice Address - State:NC
Practice Address - Zip Code:27244-9280
Practice Address - Country:US
Practice Address - Phone:336-538-2416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC283853363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics