Individual
MEGAN EILEEN CORMIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1402 E CRAIG ST, MOSES LAKE, WA 98837-3165
(509) 765-4001
(509) 766-1840
Mailing address
16098 ROAD 2 SE, MOSES LAKE, WA 98837-9307
(509) 765-6276
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP30002449
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7920705
—
WA
Enumeration date
12/20/2006
Last updated
07/08/2007
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