Provider Demographics
NPI:1144116831
Name:ROMBACH, MEGAN MARIE (PMHNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARIE
Last Name:ROMBACH
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 COTTAGE FARM DR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-5949
Mailing Address - Country:US
Mailing Address - Phone:434-305-5309
Mailing Address - Fax:
Practice Address - Street 1:315 COTTAGE FARM DR
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-5949
Practice Address - Country:US
Practice Address - Phone:434-305-5309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC276093363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health