Provider Demographics
NPI:1922387836
Name:GENDEL, MEGAN (APNP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:GENDEL
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:WELMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:UNIVERSITY HEALTH SERVICES
Mailing Address - Street 2:333 EAST CAMPUS MALL
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53715
Mailing Address - Country:US
Mailing Address - Phone:608-265-5600
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY HEALTH SERVICES
Practice Address - Street 2:333 EAST CAMPUS MALL
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53715
Practice Address - Country:US
Practice Address - Phone:608-265-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4490-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily