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Individual

KATIE MARIE MEAHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
250 E DUNLAP AVE, PHOENIX, AZ 85020-2825
(602) 943-2381
Mailing address
5243 E THUNDER HAWK RD, CAVE CREEK, AZ 85331-5593
(314) 707-5676

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
2019003619
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
246118
AZ

Other

Enumeration date
02/12/2019
Last updated
06/16/2022
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