Provider Demographics
NPI:1477025435
Name:BRUXVOORT, MEGAN (AUD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:BRUXVOORT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1201 S 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA
Mailing Address - State:MN
Mailing Address - Zip Code:55792-3361
Mailing Address - Country:US
Mailing Address - Phone:480-497-0780
Mailing Address - Fax:480-497-0790
Practice Address - Street 1:201 W GUADALUPE RD STE 315
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-3334
Practice Address - Country:US
Practice Address - Phone:480-497-0780
Practice Address - Fax:480-497-0790
Is Sole Proprietor?:No
Enumeration Date:2018-12-31
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter