Provider Demographics
NPI:1538995188
Name:DURANT, MEGAN D (APRN-CNP)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:D
Last Name:DURANT
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:D
Other - Last Name:BLY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1408 N FLORENCE AVE
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-3159
Mailing Address - Country:US
Mailing Address - Phone:918-341-1044
Mailing Address - Fax:
Practice Address - Street 1:1408 N FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-3159
Practice Address - Country:US
Practice Address - Phone:918-314-1044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK220203207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine