Provider Demographics
NPI:1962982371
Name:VANDERVEEN, MEGAN R (AGPCNP-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:R
Last Name:VANDERVEEN
Suffix:
Gender:F
Credentials:AGPCNP-C
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:R
Other - Last Name:SCHADLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:711 N CARANCAHUA ST STE 300
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78401-0581
Mailing Address - Country:US
Mailing Address - Phone:361-444-5729
Mailing Address - Fax:361-444-5730
Practice Address - Street 1:711 N CARANCAHUA ST STE 300
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78401-0581
Practice Address - Country:US
Practice Address - Phone:361-444-5729
Practice Address - Fax:361-444-5730
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP145976363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM67021034Medicaid