Provider Demographics
NPI:1528383528
Name:VOLKOV, MEGAN JONEE (NP-C)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:JONEE
Last Name:VOLKOV
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18008 RIVERVISTA RD
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-9045
Mailing Address - Country:US
Mailing Address - Phone:909-528-5664
Mailing Address - Fax:
Practice Address - Street 1:3260 PROVIDENCE DR STE 425
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99508-4629
Practice Address - Country:US
Practice Address - Phone:907-561-7111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK164403363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner