Provider Demographics
NPI:1912543430
Name:HALKOWITZ, MEGAN PURVIS (AGACNP)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:PURVIS
Last Name:HALKOWITZ
Suffix:
Gender:F
Credentials:AGACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 WILD MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-3787
Mailing Address - Country:US
Mailing Address - Phone:803-479-4870
Mailing Address - Fax:
Practice Address - Street 1:108 WILD MEADOWS DR
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-3787
Practice Address - Country:US
Practice Address - Phone:803-479-4870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC23378363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care