Individual
MEGAN M WATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15814 NEELEY ST, EVANSVILLE, IN 47725-8420
(812) 867-8991
(812) 867-8995
Mailing address
PO BOX 3366, EVANSVILLE, IN 47732-3366
(812) 867-8991
(812) 867-8995
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71014409A
IN
Other
Enumeration date
09/06/2023
Last updated
11/03/2023
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