Provider Demographics
NPI:1407466618
Name:MCDONALD, MEGGAN (RN)
Entity type:Individual
Prefix:
First Name:MEGGAN
Middle Name:
Last Name:MCDONALD
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1614 DIAMOND STREET PL
Mailing Address - Street 2:
Mailing Address - City:ONAWA
Mailing Address - State:IA
Mailing Address - Zip Code:51040-1554
Mailing Address - Country:US
Mailing Address - Phone:712-423-1525
Mailing Address - Fax:712-423-2528
Practice Address - Street 1:1614 DIAMOND STREET PL
Practice Address - Street 2:
Practice Address - City:ONAWA
Practice Address - State:IA
Practice Address - Zip Code:51040-1554
Practice Address - Country:US
Practice Address - Phone:712-423-1525
Practice Address - Fax:712-423-2528
Is Sole Proprietor?:No
Enumeration Date:2020-08-03
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA126742163WS0200X, 163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WS0200XNursing Service ProvidersRegistered NurseSchool