Provider Demographics
NPI:1609837012
Name:VERNATTER, MEGAN MICHELLE (MSN, ARNP,CEN)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:MICHELLE
Last Name:VERNATTER
Suffix:
Gender:F
Credentials:MSN, ARNP,CEN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:FLATWOODS
Mailing Address - State:KY
Mailing Address - Zip Code:41139-1044
Mailing Address - Country:US
Mailing Address - Phone:606-834-8016
Mailing Address - Fax:606-834-8016
Practice Address - Street 1:710 N 4TH ST
Practice Address - Street 2:
Practice Address - City:FLATWOODS
Practice Address - State:KY
Practice Address - Zip Code:41139-1044
Practice Address - Country:US
Practice Address - Phone:606-834-8016
Practice Address - Fax:606-834-8016
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-28
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3003021363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYS96481Medicare UPIN