Provider Demographics
NPI:1942630603
Name:SHETH, MEGHNA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MEGHNA
Middle Name:
Last Name:SHETH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 211699
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55121-3699
Mailing Address - Country:US
Mailing Address - Phone:866-849-0692
Mailing Address - Fax:888-973-8821
Practice Address - Street 1:5576 GREENVILLE HWY
Practice Address - Street 2:
Practice Address - City:ZIRCONIA
Practice Address - State:NC
Practice Address - Zip Code:28790-7879
Practice Address - Country:US
Practice Address - Phone:866-849-0692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-17
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN-0001212-C-NP363LF0000X
AZ305091363LF0000X
FLAPRN11021960363LF0000X
TXAP124879363LF0000X
OR10015760363LF0000X
NC5017360363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily