Individual
MEGGAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
405 W STANLEY ST, GRANITE FALLS, WA 98252-8631
(360) 691-2419
(360) 691-0489
Mailing address
ATTN: CREDENTIALING, 1400 E. KINCAID STREET, MT. VERNON, WA 98274-4127
(360) 814-6724
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60910466
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2113234
—
WA
01
—
400206
LABOR & INDUSTRIES
WA
Enumeration date
11/08/2018
Last updated
10/22/2021
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