Provider Demographics
NPI:1992323018
Name:BEDKER, MEGAN LOUISE (ARNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LOUISE
Last Name:BEDKER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 5TH AVE UNIT 205
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98164-2006
Mailing Address - Country:US
Mailing Address - Phone:231-649-1663
Mailing Address - Fax:
Practice Address - Street 1:3003 80TH AVE SE
Practice Address - Street 2:
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040-2915
Practice Address - Country:US
Practice Address - Phone:206-580-0668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-07
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP61041126363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health