Individual
MRS. MEGAN ELIZABETH REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 434-7354
Mailing address
530A S MAIN ST, OCONOMOWOC, WI 53066-3643
(262) 434-7361
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
166122-030
WI
363L00000X
Nurse Practitioner
Primary
6278-33
WI
363LF0000X
Family Nurse Practitioner
6278
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0115713
ANCC
WI
Enumeration date
05/18/2010
Last updated
12/07/2021
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