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Individual
MS. MEGAN C BEADLE
Active
Individual
MS. MEGAN C BEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3089
NE
363A00000X
Physician Assistant
3861
CO
363AM0700X
Medical Physician Assistant
PA22874
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04013918
—
CO
01
—
3861
PA
CO
01
—
PA22874
PA LICENSE
CA
Enumeration date
03/11/2013
Last updated
10/08/2025
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