Provider Demographics
NPI:1609697341
Name:WILLIAMS, MEAGAN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:MEAGAN
Other - Middle Name:
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:39506 N DAISY MOUNTAIN DR STE 122157
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-6068
Mailing Address - Country:US
Mailing Address - Phone:480-522-8862
Mailing Address - Fax:
Practice Address - Street 1:39506 N DAISY MOUNTAIN DR STE 122157
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-6068
Practice Address - Country:US
Practice Address - Phone:480-522-8862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ315861363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health