Provider Demographics
NPI:1700330958
Name:SKELDING, MEGAN (APRN, PMHNP)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:SKELDING
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10100 LANTERN RD STE 250
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-9408
Mailing Address - Country:US
Mailing Address - Phone:317-992-1988
Mailing Address - Fax:317-981-1694
Practice Address - Street 1:10100 LANTERN RD STE 250
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-9408
Practice Address - Country:US
Practice Address - Phone:317-992-1988
Practice Address - Fax:317-981-1694
Is Sole Proprietor?:No
Enumeration Date:2016-08-04
Last Update Date:2024-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71006294A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN300030724Medicaid