Individual
MEGAN MINEUR COUSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 250-3120
Mailing address
8905 SUN VIEW DR, WHITE SETTLEMENT, TX 76108-2929
(817) 367-7761
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
693115
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP117750
TX
Other
Enumeration date
01/26/2009
Last updated
07/18/2024
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