Provider Demographics
NPI:1154760031
Name:HARVILL, MEGAN B (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:B
Last Name:HARVILL
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:B
Other - Last Name:GLASTETTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:24 N SPRIGG ST
Mailing Address - Street 2:
Mailing Address - City:CAPE GIRARDEAU
Mailing Address - State:MO
Mailing Address - Zip Code:63701-5526
Mailing Address - Country:US
Mailing Address - Phone:573-332-7992
Mailing Address - Fax:
Practice Address - Street 1:24 N SPRIGG ST
Practice Address - Street 2:
Practice Address - City:CAPE GIRARDEAU
Practice Address - State:MO
Practice Address - Zip Code:63701-5526
Practice Address - Country:US
Practice Address - Phone:573-332-7992
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA136307363LF0000X
MO2012033846363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily