Provider Demographics
NPI:1598909244
Name:MCHUGH, MEGAN (MSN, NNP-BC, APNP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:MCHUGH
Suffix:
Gender:F
Credentials:MSN, NNP-BC, APNP
Other - Prefix:MRS
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:BENOIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, NNP-BC, APNP
Mailing Address - Street 1:PO BOX 735044
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-5044
Mailing Address - Country:US
Mailing Address - Phone:262-329-4900
Mailing Address - Fax:
Practice Address - Street 1:975 PORT WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WI
Practice Address - Zip Code:53024-9201
Practice Address - Country:US
Practice Address - Phone:262-329-4900
Practice Address - Fax:262-329-4901
Is Sole Proprietor?:No
Enumeration Date:2009-04-25
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3640363L00000X
WI3640-033363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100012402Medicaid