Provider Demographics
NPI:1093763807
Name:MORGAN, MEGAN VON GREMP (ANP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:VON GREMP
Last Name:MORGAN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:KING
Other - Last Name:VON GREMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:2708 S RIFE MEDICAL LN
Mailing Address - Street 2:SUITE 130
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-1452
Mailing Address - Country:US
Mailing Address - Phone:479-338-5555
Mailing Address - Fax:479-338-5533
Practice Address - Street 1:2708 S RIFE MEDICAL LN
Practice Address - Street 2:SUITE 130
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-1452
Practice Address - Country:US
Practice Address - Phone:479-338-5555
Practice Address - Fax:479-338-5533
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA001376363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics