Provider Demographics
NPI:1407668817
Name:WARREN, MEGAN RENEE
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:RENEE
Last Name:WARREN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:RENEE
Other - Last Name:KEMPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4604 LOFTWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93636-8033
Mailing Address - Country:US
Mailing Address - Phone:559-473-5783
Mailing Address - Fax:
Practice Address - Street 1:8001 E BLOOMINGTON FWY
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-1036
Practice Address - Country:US
Practice Address - Phone:800-854-2772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHAD8651237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist