Provider Demographics
NPI:1841966256
Name:MONGEAU, MEGAN CATHERINE (FNP-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:CATHERINE
Last Name:MONGEAU
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:CATHERINE
Other - Last Name:NEWMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:5016 GRAMPIAN WAY
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-6473
Mailing Address - Country:US
Mailing Address - Phone:214-448-5081
Mailing Address - Fax:
Practice Address - Street 1:12530 LEBANON RD STE 207
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-2690
Practice Address - Country:US
Practice Address - Phone:817-668-1360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-17
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1049991363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily