Provider Demographics
NPI:1205857364
Name:BELONGIA, MEGHAN C (APNP)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:C
Last Name:BELONGIA
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:C
Other - Last Name:WESTENBERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:9000 W WISCONSIN AVE # MS 958
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-4874
Mailing Address - Country:US
Mailing Address - Phone:414-266-7615
Mailing Address - Fax:414-266-6238
Practice Address - Street 1:7950 N PORT WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:FOX POINT
Practice Address - State:WI
Practice Address - Zip Code:53217-3131
Practice Address - Country:US
Practice Address - Phone:414-253-1194
Practice Address - Fax:414-540-1065
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2910363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1205857364Medicaid
WI1205857364Medicaid