Provider Demographics
NPI:1114111770
Name:ANDREWS, MEGAN E (NP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:E
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 PROFESSIONAL PARK
Mailing Address - Street 2:#A
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-2501
Mailing Address - Country:US
Mailing Address - Phone:919-603-1665
Mailing Address - Fax:
Practice Address - Street 1:102 PROFESSIONAL PARK
Practice Address - Street 2:#A
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-2501
Practice Address - Country:US
Practice Address - Phone:919-603-1665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050-03372363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7005325Medicaid
NC7005325Medicaid