Provider Demographics
NPI:1316771033
Name:REID, MEGAN MEREDITH (RN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MEREDITH
Last Name:REID
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 NW D ST APT B
Mailing Address - Street 2:
Mailing Address - City:BENTONVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72712-4259
Mailing Address - Country:US
Mailing Address - Phone:270-791-7649
Mailing Address - Fax:
Practice Address - Street 1:1112 NW D ST APT B
Practice Address - Street 2:
Practice Address - City:BENTONVILLE
Practice Address - State:AR
Practice Address - Zip Code:72712-4259
Practice Address - Country:US
Practice Address - Phone:270-791-7649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-27
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program