Provider Demographics
NPI:1215438205
Name:PRICE, MEAGAN RENEE (LVN)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:RENEE
Last Name:PRICE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3099 AVENUE A
Mailing Address - Street 2:
Mailing Address - City:INGLESIDE
Mailing Address - State:TX
Mailing Address - Zip Code:78362-4405
Mailing Address - Country:US
Mailing Address - Phone:361-727-7076
Mailing Address - Fax:
Practice Address - Street 1:3099 AVENUE A
Practice Address - Street 2:
Practice Address - City:INGLESIDE
Practice Address - State:TX
Practice Address - Zip Code:78362-4405
Practice Address - Country:US
Practice Address - Phone:361-727-7076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-23
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX340017164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse