Individual
MEGAN RENAE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Contact information
Practice address
14100 CRAWFORD ST, BOYS TOWN, NE 68010-7520
(531) 355-1758
Mailing address
1780 COUNTY ROAD M, WAHOO, NE 68066-5503
(402) 277-0950
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
63632
NE
363LP2300X
Primary Care Nurse Practitioner
Primary
113303
NE
Other
Enumeration date
07/29/2020
Last updated
09/02/2020
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