Provider Demographics
NPI:1861915779
Name:TYNDALL, MEGAN KARIN (FNP-C, DNP)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:KARIN
Last Name:TYNDALL
Suffix:
Gender:F
Credentials:FNP-C, DNP
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:KARIN
Other - Last Name:PUSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7903 QUEPONCO RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:MD
Mailing Address - Zip Code:21841-2333
Mailing Address - Country:US
Mailing Address - Phone:302-858-2191
Mailing Address - Fax:
Practice Address - Street 1:9950 MAIN ST
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811
Practice Address - Country:US
Practice Address - Phone:410-912-6710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-23
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR235984163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse