Individual
MEGAN MATHENY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
259 MATEO WAY NE, ST PETERSBURG, FL 33704-3621
(219) 983-2146
Mailing address
259 MATEO WAY NE, ST PETERSBURG, FL 33704-3621
(219) 983-2146
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN9489671
FL
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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