Redam, Megan L

Redam, Megan L is an individual health care provider with primary practice located at 4301 W Markham St # 515 , Little Rock AR 72205-7101. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Redam, Megan L can be contacted via phone (501) 603-1211.

Contact Information

Primary practice address
4301 W Markham St # 515 Little Rock AR 72205-7101
Phone: (501) 603-1211
Fax: (501) 686-7618
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ATP000061 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A002998 Arkansas

Profile Details

NPI number 1861512105
LBN Legal business name Redam, Megan L
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Nov 2nd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861512105 NPPES
Arkansas Other A02998 LICENSE
Arkansas Other ATP000061 LICENSE

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