Organization
EDEN MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN RENEE HATHCOAT APRN (NURSE PRACTITIONER)
(907) 440-2987
Entity
Organization
Contact information
Practice address
1569 BRAGAW ST STE 102, ANCHORAGE, AK 99508-3102
(907) 440-2987
Mailing address
2905 DONINGTON DR, ANCHORAGE, AK 99504-3844
(907) 440-2987
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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