Individual
MEAGAN LYNNE ALTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7300 E INDIANA ST STE 103, EVANSVILLE, IN 47715-7448
(812) 401-8008
(812) 401-8208
Mailing address
7300 E INDIANA ST STE 103, EVANSVILLE, IN 47715-7448
(813) 401-8008
(812) 401-8201
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
71010758A
IN
363L00000X
Nurse Practitioner
71010758A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71010758A
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71010758A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71010758A
LICENSE
IN
Enumeration date
02/15/2021
Last updated
11/03/2024
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