Provider Demographics
NPI:1285123786
Name:HORSEY, MEGAN LOUISE (PA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LOUISE
Last Name:HORSEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:LOUISE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
Mailing Address - Street 2:
Mailing Address - City:FORT LIBERTY
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:907-907-8922
Mailing Address - Fax:910-907-6069
Practice Address - Street 1:WOMACK ARMY MEDICAL CENTER
Practice Address - Street 2:2817 ROCK MERRITT AVE
Practice Address - City:FORT LIBERTY
Practice Address - State:NC
Practice Address - Zip Code:28318
Practice Address - Country:US
Practice Address - Phone:910-643-1923
Practice Address - Fax:910-907-0752
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-12242363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant