Provider Demographics
NPI:1033531058
Name:LITTLE, MEAGANN M (CNM)
Entity type:Individual
Prefix:
First Name:MEAGANN
Middle Name:M
Last Name:LITTLE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 EXEMPLA CIR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-3397
Mailing Address - Country:US
Mailing Address - Phone:303-318-3296
Mailing Address - Fax:303-325-8510
Practice Address - Street 1:300 EXEMPLA CIR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-3397
Practice Address - Country:US
Practice Address - Phone:303-318-3296
Practice Address - Fax:303-325-8510
Is Sole Proprietor?:No
Enumeration Date:2014-01-09
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000017030367A00000X
COAPN.0992270-CNM367A00000X
CORXN.0101873-CNM367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ003635Medicaid
TNQ003635Medicaid