Provider Demographics
NPI:1689988222
Name:SWANK, MEGAN H (AUD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:H
Last Name:SWANK
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:H
Other - Last Name:SWANK-MEITZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1664 N VIRGINIA ST
Mailing Address - Street 2:MAIL STOP 152, REDFIELD MEDICAL BLDG.
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89557-0001
Mailing Address - Country:US
Mailing Address - Phone:775-784-4887
Mailing Address - Fax:775-784-4095
Practice Address - Street 1:1664 N VIRGINIA ST
Practice Address - Street 2:MAIL STOP 152 REDFIELD MEDICAL BLDG
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89557-0001
Practice Address - Country:US
Practice Address - Phone:775-784-4887
Practice Address - Fax:775-784-4095
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVHA335231H00000X
NVA229231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100524907Medicaid
NVEC4182Medicare PIN