Micah Douglass, rn, bsn
Registered Nurse in Plymouth Meeting, PA. Individual provider (NPI-1).
NPI number1124330089
StatusActive
Last updated in NPPESJul 8, 2010
Details
- NPI
- 1124330089
- Entity type
- Individual (NPI-1)
- Name
- Micah Douglass
- Credential
- rn, bsn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2010
- Last updated
- Jul 8, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 726181 | PA | Yes |
Practice location
2250 Hickory RdSuite 240
Plymouth Meeting, PA 19462-1047
Phone 610-834-1122
Mailing address
Po Box 8361Philadelphia, PA 19101-8361
Phone 215-380-5858
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 940 Registered Nurse providers in Plymouth Meeting · All 5,219 providers in Plymouth Meeting
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