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Individual
MEGAN ANNE CARPENTER
Active
Individual
MEGAN ANNE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00745800
NJ
363LF0000X
Family Nurse Practitioner
26NJ00745800
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00745800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0628565
—
NJ
01
—
672602
MEDICARE
NJ
Enumeration date
10/13/2017
Last updated
08/02/2018
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