Megan Eitzmann
Individual provider Active NPI Registered Nurse · Clinton, AR
NPI 1831941103 · NPPES record last updated Apr 2, 2024
Key facts
- NPI
- 1831941103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 122027 (AR)
- Practice address
- 242 Shake Rag Rd
Clinton, AR 72031-6629 - Phone
- (501) 315-3344
- NPI assigned
- Apr 2, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122027 | AR | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 122027 | AR | Yes |
Addresses
Primary practice location
242 Shake Rag Rd
Clinton, AR 72031-6629
Mailing address
PO Box 1589
Benton, AR 72018-1589
Phone (501) 315-3344
Other providers in Clinton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2024. 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.