Individual
MEGAN NICHOALDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12266 DE PAUL DR STE 210, BRIDGETON, MO 63044-2514
(314) 344-6800
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2013039397
MO
363LF0000X
Family Nurse Practitioner
2008020336
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008020336
LICENSE
MO
Enumeration date
11/13/2013
Last updated
02/06/2025
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