Provider Demographics
NPI:1740549880
Name:TUTEN, MEGHAN ORTEGA (RN 9595959)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:ORTEGA
Last Name:TUTEN
Suffix:
Gender:F
Credentials:RN 9595959
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12437 COUNTY ROAD 137
Mailing Address - Street 2:
Mailing Address - City:WELLBORN
Mailing Address - State:FL
Mailing Address - Zip Code:32094-2115
Mailing Address - Country:US
Mailing Address - Phone:386-628-7176
Mailing Address - Fax:
Practice Address - Street 1:12437 COUNTY ROAD 137
Practice Address - Street 2:
Practice Address - City:WELLBORN
Practice Address - State:FL
Practice Address - Zip Code:32094-2115
Practice Address - Country:US
Practice Address - Phone:386-628-7176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-10
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA170437376K00000X
FL9595959163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's Aide