# MEGAN ANNE CARPENTER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750892030
- **Gender:** F
- **Credential:** APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 26NJ00745800 | NJ | Yes |
| 363LF0000X | Family Nurse Practitioner | 26NJ00745800 | NJ | — |
| 363LG0600X | Gerontology Nurse Practitioner | 26NJ00745800 | NJ | — |

## Other

- **Enumeration date:** 10/13/2017
- **Last updated:** 08/02/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0628565 | — | NJ |
| 01 | — | 672602 | MEDICARE | NJ |