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Individual

MEGAN C HEBDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
975 MEZZANINE DR, SUITE C, LAFAYETTE, IN 47905-8635
(765) 807-7988
(765) 807-7989
Mailing address
PO BOX 4699, LAFAYETTE, IN 47903-4699
(765) 449-2732
(765) 449-1196

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003490A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000856202
ANTHEM PROVIDER NUMBER
IN
05
201017050
IN
Enumeration date
12/28/2010
Last updated
09/29/2014
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