Individual
MEGAN CHILDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
584 HOSPITAL DR NE UNIT B, BOLIVIA, NC 28422-0020
(910) 721-4050
(910) 721-4051
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011564
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5011564
NC BOARD OF NURSING
NC
Enumeration date
03/29/2019
Last updated
10/26/2020
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