Individual
MRS. MEGAN MOORE BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
444 NC HWY 108, RUTHERFORDTON, NC 28139-7871
(828) 286-2305
(828) 287-4320
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5008627
NC
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
5008627
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCU082A2342423A
MEDICARE PIN
NC
Enumeration date
06/16/2016
Last updated
12/08/2020
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