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Individual

MEGAN VERMILYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6913 N MAIN ST, GRANGER, IN 46530-8039
(574) 647-1500
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-2129

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
218196887A
IN
363LF0000X
Family Nurse Practitioner
Primary
71004988A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300022337
IN
Enumeration date
06/30/2014
Last updated
11/11/2024
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