Individual
MEAGAN LEE MCDURFEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2355 ENDRESS PL SUITE A, GREENWOOD, IN 46143
(317) 530-1811
(317) 963-1621
Mailing address
10 W. MARKET ST, INDIANAPOLIS, IN 46204
(866) 434-3255
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28162119A
IN
363LF0000X
Family Nurse Practitioner
Primary
71003186A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201307000
—
IN
01
—
264430D70
MEDICARE PTAN
IN
Enumeration date
06/07/2010
Last updated
02/19/2024
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