Individual
MEGAN MAVETY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4863 N NEVADA AVE, COLORADO SPRINGS, CO 80918-3951
(719) 344-3213
(719) 260-1821
Mailing address
3205 N ACADEMY BLVD STE 130, COLORADO SPRINGS, CO 80917-5152
(719) 632-5700
(719) 344-7865
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0994395-NP
CO
363LP2300X
Primary Care Nurse Practitioner
95007562
CA
Other
Enumeration date
10/12/2017
Last updated
07/18/2024
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