Individual
MRS. MEGAN DIANE MIDDLECOAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1900 COLLEGE AVE, VINCENNES, IN 47591-5663
(812) 316-1569
Mailing address
22 ILLINI LN, LAWRENCEVILLE, IL 62439-3366
(618) 839-1572
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28189691A
IN
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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