Individual
MISS MEGAN ELIZABETH HYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2116 GRAND AVE, DES MOINES, IA 50312-5310
(515) 244-2267
Mailing address
10840 BROADVIEW DR APT 305, RALEIGH, NC 27617-8261
(919) 830-8977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001011607
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-11607
NORTH CAROLINA MEDICAL LICENSE
NC
Enumeration date
09/22/2021
Last updated
03/14/2022
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