Provider Demographics
NPI:1477123693
Name:MWANGI, MEGAN ASHLEY
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:ASHLEY
Last Name:MWANGI
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:MEGAN
Other - Middle Name:ASHLEY
Other - Last Name:MCMULLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:113 E MARION ST
Mailing Address - Street 2:
Mailing Address - City:SIGOURNEY
Mailing Address - State:IA
Mailing Address - Zip Code:52591-1443
Mailing Address - Country:US
Mailing Address - Phone:641-541-4040
Mailing Address - Fax:641-541-4030
Practice Address - Street 1:113 E MARION ST
Practice Address - Street 2:
Practice Address - City:SIGOURNEY
Practice Address - State:IA
Practice Address - Zip Code:52591-1443
Practice Address - Country:US
Practice Address - Phone:641-541-4040
Practice Address - Fax:641-541-4030
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA164327363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily