Provider Demographics
NPI:1275154999
Name:TWISDALE, MEGHAN THOMPSON (ACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:THOMPSON
Last Name:TWISDALE
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 LEE FOX LN
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278-6886
Mailing Address - Country:US
Mailing Address - Phone:919-818-6650
Mailing Address - Fax:
Practice Address - Street 1:10 DUKE MEDICINE CIRCLE DUKE SURGICAL CARE UNIT
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-684-6473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-05
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5013100363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care