Provider Demographics
NPI:1083364657
Name:CONBOY, MEG (MSN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:MEG
Middle Name:
Last Name:CONBOY
Suffix:
Gender:F
Credentials:MSN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:23661 PACIFIC COAST HWY
Mailing Address - Street 2:
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-4825
Mailing Address - Country:US
Mailing Address - Phone:424-422-6215
Mailing Address - Fax:310-456-5697
Practice Address - Street 1:23661 PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-4825
Practice Address - Country:US
Practice Address - Phone:424-422-6215
Practice Address - Fax:310-456-5697
Is Sole Proprietor?:No
Enumeration Date:2022-03-26
Last Update Date:2022-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP95020356207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine