Provider Demographics
NPI:1164703575
Name:FOREMAN, MEGAN (FNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:FOREMAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7722 DEVONSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-4111
Mailing Address - Country:US
Mailing Address - Phone:303-506-4247
Mailing Address - Fax:
Practice Address - Street 1:7722 DEVONSHIRE CT
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-4111
Practice Address - Country:US
Practice Address - Phone:303-506-4247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO990195363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily