Provider Demographics
NPI:1801385471
Name:HARKEY, MEGAN SUE (CNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:SUE
Last Name:HARKEY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:SUE
Other - Last Name:LINDQUIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 1ST CAPITOL DR
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-2844
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3601 BEAR CREEK RIDGE CT
Practice Address - Street 2:
Practice Address - City:WENTZVILLE
Practice Address - State:MO
Practice Address - Zip Code:63385-3392
Practice Address - Country:US
Practice Address - Phone:636-485-7819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011003767163W00000X
MO2015036192363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2015036192OtherMISSOURI STATE BOARD OF NURSING