Provider Demographics
NPI:1982072237
Name:RUOPP, MEGAN MAXINE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:MAXINE
Last Name:RUOPP
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 746870
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6870
Mailing Address - Country:US
Mailing Address - Phone:773-352-1515
Mailing Address - Fax:
Practice Address - Street 1:3419 16TH AVE SW STE 100
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52404-2326
Practice Address - Country:US
Practice Address - Phone:319-206-9561
Practice Address - Fax:319-423-7978
Is Sole Proprietor?:No
Enumeration Date:2015-09-03
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA116169363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily