Provider Demographics
NPI:1861707275
Name:MENSTER, MEGAN LAVENDER (ARNP)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:LAVENDER
Last Name:MENSTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:LAVENDER
Other - Last Name:STRAWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12109 COUNTY ROAD 103
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:FL
Mailing Address - Zip Code:34484-2951
Mailing Address - Country:US
Mailing Address - Phone:352-205-8981
Mailing Address - Fax:
Practice Address - Street 1:6811 PALISADES PARK CT STE 1
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-7130
Practice Address - Country:US
Practice Address - Phone:239-533-5177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2021-09-27
Deactivation Date:2011-02-07
Deactivation Code:
Reactivation Date:2011-03-09
Provider Licenses
StateLicense IDTaxonomies
FLARNP9234327363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1005520OtherCIGNA
FLP986982OtherFREEDOM
FLP01213819OtherRAILROAD MCR
FL1234339OtherWELLCARE
FLY05NQOtherBCBS OF FL
FLP931836OtherOPTIMUM
FL9067568OtherAETNA
FLP986982OtherFREEDOM
FL1005520OtherCIGNA
FL392490OtherAVMED
FLDN307YMedicare PIN