Provider Demographics
NPI:1295210664
Name:WOELKE, MEGHAN HOPE (FNP-C)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:HOPE
Last Name:WOELKE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 CAMERON CV
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4856
Mailing Address - Country:US
Mailing Address - Phone:512-619-7658
Mailing Address - Fax:
Practice Address - Street 1:12201 RENFERT WAY STE 110
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-5362
Practice Address - Country:US
Practice Address - Phone:512-491-5125
Practice Address - Fax:888-833-7248
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138996363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily