Provider Demographics
NPI:1366842734
Name:STOMMES, MEGHAN (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:STOMMES
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 NICOLLET MALL STE 400
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2520
Mailing Address - Country:US
Mailing Address - Phone:612-333-2503
Mailing Address - Fax:
Practice Address - Street 1:801 NICOLLET MALL STE 400
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2520
Practice Address - Country:US
Practice Address - Phone:612-333-2503
Practice Address - Fax:612-333-7080
Is Sole Proprietor?:No
Enumeration Date:2014-09-03
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN199362-4363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health