Provider Demographics
NPI:1447663976
Name:CZYZ, MEGAN MARIE (CRNP)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:MARIE
Last Name:CZYZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:MEGAN
Other - Middle Name:CZYZ
Other - Last Name:PRYOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP
Mailing Address - Street 1:204 CEDAR ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-2395
Mailing Address - Country:US
Mailing Address - Phone:410-936-5500
Mailing Address - Fax:667-389-0050
Practice Address - Street 1:204 CEDAR ST STE 101
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-2395
Practice Address - Country:US
Practice Address - Phone:410-936-5500
Practice Address - Fax:667-389-0050
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELG-0000851363LF0000X
MDAC007001363LP0808X
DEL8-0000190363LP0808X
MDAC007000363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD119591300Medicaid
MDS118Medicare PIN
MD119591300Medicaid