Provider Demographics
NPI:1851575963
Name:REICH, MEGAN MELISSA (CRNA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MELISSA
Last Name:REICH
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:468 LAKEVIEW DR APT 22
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-3710
Mailing Address - Country:US
Mailing Address - Phone:917-848-7748
Mailing Address - Fax:
Practice Address - Street 1:468 LAKEVIEW DR APT 22
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-3710
Practice Address - Country:US
Practice Address - Phone:917-848-7488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2025-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9284281367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered