Individual
MRS. MEGAN BURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APNP, FNP-C
Contact information
Practice address
201 E MORRISSEY DR, ELKHORN, WI 53121-4395
(262) 723-3100
Mailing address
W5724 BONNER LN, WALWORTH, WI 53184-5951
(262) 374-1779
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8904
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100085709
—
WI
Enumeration date
01/14/2019
Last updated
11/29/2021
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