Provider Demographics
NPI:1386184521
Name:MENARD, MEGAN M (FNP-BC, IBCLC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:M
Last Name:MENARD
Suffix:
Gender:F
Credentials:FNP-BC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20625 N GREENBLUFF DR
Mailing Address - Street 2:
Mailing Address - City:COLBERT
Mailing Address - State:WA
Mailing Address - Zip Code:99005-9523
Mailing Address - Country:US
Mailing Address - Phone:509-705-6522
Mailing Address - Fax:509-464-6959
Practice Address - Street 1:501 S BERNARD ST STE 100
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2511
Practice Address - Country:US
Practice Address - Phone:509-701-7651
Practice Address - Fax:509-279-2636
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-07
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN606161406163W00000X
ZZL-94269163WL0100X
WAAP70014201363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant