Individual
MEGAN L SOULIGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8000 N 300 W, WEST LAFAYETTE, IN 47906-9653
(765) 337-5630
Mailing address
8000 N 300 W, WEST LAFAYETTE, IN 47906-9653
(765) 337-5630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28252203A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71014441A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300083322
—
IN
Enumeration date
08/30/2022
Last updated
12/11/2023
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