Provider Demographics
NPI:1265229363
Name:GIRI, MEGHA (APRN)
Entity type:Individual
Prefix:
First Name:MEGHA
Middle Name:
Last Name:GIRI
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2437 RAVINE CT
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:WI
Mailing Address - Zip Code:54313-4102
Mailing Address - Country:US
Mailing Address - Phone:917-755-1282
Mailing Address - Fax:
Practice Address - Street 1:2437 RAVINE CT
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:WI
Practice Address - Zip Code:54313-4102
Practice Address - Country:US
Practice Address - Phone:917-755-1282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16732-33363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health