Provider Demographics
NPI:1457239527
Name:MCGUIRE, MEGAN MARIE (BSN, RN, CPN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARIE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:BSN, RN, CPN
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:MARIE
Other - Last Name:MANCUSO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSN,RN, CPN
Mailing Address - Street 1:217 CONSTITUTION ST
Mailing Address - Street 2:
Mailing Address - City:LIBERTY HILL
Mailing Address - State:TX
Mailing Address - Zip Code:78642-2242
Mailing Address - Country:US
Mailing Address - Phone:512-560-8186
Mailing Address - Fax:
Practice Address - Street 1:4900 MUELLER BLVD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-3051
Practice Address - Country:US
Practice Address - Phone:512-324-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX969429163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics