Provider Demographics
NPI:1275850034
Name:SAMPSON, MEGEN TROUARD (ARNP)
Entity Type:Individual
Prefix:
First Name:MEGEN
Middle Name:TROUARD
Last Name:SAMPSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 N THAMES CIR
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-1145
Mailing Address - Country:US
Mailing Address - Phone:352-427-7633
Mailing Address - Fax:
Practice Address - Street 1:3500 BARRANCA PKWY
Practice Address - Street 2:SUITE 160
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92606-8226
Practice Address - Country:US
Practice Address - Phone:949-336-6569
Practice Address - Fax:949-336-6570
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9283601363LP0200X
CA19722363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics