Provider Demographics
NPI:1255204012
Name:MURCIA, MEGAN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MURCIA
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2408 INDEPENDENCE CIR
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-5744
Mailing Address - Country:US
Mailing Address - Phone:949-351-0389
Mailing Address - Fax:
Practice Address - Street 1:2408 INDEPENDENCE CIR
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-5744
Practice Address - Country:US
Practice Address - Phone:949-351-0389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-27
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95034619363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health