Individual
MEGAN VANDER HEIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
Mailing address
1911 COOKS HILL RD, CENTRALIA, WA 98531-9073
(360) 736-6778
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN60709895
WA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP61549106
WA
Other
Enumeration date
07/27/2022
Last updated
06/27/2024
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