Provider Demographics
NPI:1912334293
Name:CARTER, MEGAN (MSN, FNP)
Entity Type:Individual
Prefix:MISS
First Name:MEGAN
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 CHANEY RD
Mailing Address - Street 2:
Mailing Address - City:DUBUQUE
Mailing Address - State:IA
Mailing Address - Zip Code:52001-4016
Mailing Address - Country:US
Mailing Address - Phone:563-580-6089
Mailing Address - Fax:
Practice Address - Street 1:7200 HUDSON BLVD N
Practice Address - Street 2:SUITE 230
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-7055
Practice Address - Country:US
Practice Address - Phone:651-735-3656
Practice Address - Fax:651-735-0155
Is Sole Proprietor?:No
Enumeration Date:2013-10-02
Last Update Date:2017-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7439-33363L00000X, 363LC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health