Provider Demographics
NPI:1780945493
Name:ROGERS, MEGAN M (FNP-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:ROGERS
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 1:880 S CLEARWATER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-5245
Mailing Address - Country:US
Mailing Address - Phone:913-387-9108
Mailing Address - Fax:
Practice Address - Street 1:880 S CLEARWATER CREEK DR
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-5245
Practice Address - Country:US
Practice Address - Phone:913-387-9108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012009192363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily