Individual
MEGAN M HAVERKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11130 CAPITAL BLVD, WAKE FOREST, NC 27587-4513
(919) 488-0015
(919) 488-0021
Mailing address
11130 CAPITAL BLVD, WAKE FOREST, NC 27587-4513
(919) 488-4094
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
184339
NC
363LP0200X
Pediatric Nurse Practitioner
Primary
184339
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004705
—
NC
Enumeration date
11/17/2008
Last updated
06/04/2025
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