Provider Demographics
NPI:1437439213
Name:LOPES, MEAGAN E (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MEAGAN
Middle Name:E
Last Name:LOPES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:E
Other - Last Name:SCHIAVONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:7350 VAN DUSEN RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707
Mailing Address - Country:US
Mailing Address - Phone:301-498-8880
Mailing Address - Fax:301-498-7939
Practice Address - Street 1:7350 VAN DUSEN RD
Practice Address - Street 2:SUITE 130
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707
Practice Address - Country:US
Practice Address - Phone:301-498-8880
Practice Address - Fax:301-498-7939
Is Sole Proprietor?:No
Enumeration Date:2011-08-24
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR153482363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily