Provider Demographics
NPI:1770308348
Name:BAUGH, MEGAN ALYSE (RN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ALYSE
Last Name:BAUGH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11859 DUNSTER LN
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-7504
Mailing Address - Country:US
Mailing Address - Phone:813-624-3419
Mailing Address - Fax:
Practice Address - Street 1:2068 HAWTHORNE ST STE 201
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2368
Practice Address - Country:US
Practice Address - Phone:941-953-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9673610163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse