Individual
MEGAN M HABICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
10284 SHELBYVILLE RD, LOUISVILLE, KY 40223-2955
(502) 244-5827
(502) 244-5829
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005889
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000724359
ANTHEM - NICC
KY
01
—
127144
SIHO - NICC
KY
01
—
P01055950
RR MEDICARE
KY
Enumeration date
06/24/2011
Last updated
07/19/2016
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