Provider Demographics
NPI:1427729656
Name:HOEFLING, MEAGAN MICHELLE (FNP)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:MICHELLE
Last Name:HOEFLING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:MICHELLE
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:340 STARLITE DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-6102
Mailing Address - Country:US
Mailing Address - Phone:270-215-3150
Mailing Address - Fax:270-844-8183
Practice Address - Street 1:340 STARLITE DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-6102
Practice Address - Country:US
Practice Address - Phone:270-215-3150
Practice Address - Fax:270-844-8183
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71011656363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN71011656OtherINDIANA STATE LICENSE
KY7100775280Medicaid
000001594297OtherBCBS
IN30005534Medicaid
000001594297OtherBCBS