Provider Demographics
NPI:1396872461
Name:PRESLEY, MEGAN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:PRESLEY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18537 W CAROL AVE
Mailing Address - Street 2:
Mailing Address - City:WADDELL
Mailing Address - State:AZ
Mailing Address - Zip Code:85355-4421
Mailing Address - Country:US
Mailing Address - Phone:623-842-6445
Mailing Address - Fax:
Practice Address - Street 1:13203 N. 103RD AVE.
Practice Address - Street 2:BLDG F., STE 5-6
Practice Address - City:SUN CITY
Practice Address - State:AZ
Practice Address - Zip Code:85351
Practice Address - Country:US
Practice Address - Phone:602-753-8835
Practice Address - Fax:877-819-9027
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ320444363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ694259Medicaid