Megan Ann Nephew, BSN, RN, CDP
Individual provider Active NPI Registered Nurse · Danforth, IL
NPI 1104593995 · NPPES record last updated Aug 27, 2021
Key facts
- NPI
- 1104593995
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 041413197 (IL)
- Practice address
- 403 N 4TH St
Danforth, IL 60930-5800 - Phone
- (815) 269-2970
- Fax
- (815) 269-2094
- NPI assigned
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041413197 | IL | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041413197 | IL | Yes |
Addresses
Primary practice location
403 N 4TH St
Danforth, IL 60930-5800
Mailing address
403 N 4TH St
Danforth, IL 60930-5800
Phone (815) 269-2970
Other providers in Danforth, IL
All providers in Danforth, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.