Basic Information
| Provider Information | |||||||||
| NPI: | 1174901391 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MADER | ||||||||
| FirstName: | MEGHAN | ||||||||
| MiddleName: | LEIGH | ||||||||
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| Credential: | FNP-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2801 SE 1ST AVE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344710408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3526906300 | ||||||||
| FaxNumber: | 3526906802 | ||||||||
| Practice Location | |||||||||
| Address1: | 2801 SE 1ST AVE | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344710408 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3526906300 | ||||||||
| FaxNumber: | 3526906802 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/07/2015 | ||||||||
| LastUpdateDate: | 12/14/2016 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | ARNP9292280 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LW0102X | ARNP9292280 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
No ID Information.