Individual provider · NPI-1
Meghan Kerry Deyo, MSN, APRN, CPNP-PC
Nurse Practitioner · Rochester, MN
NPI number1558865295
StatusActive
Last updated in NPPESMay 9, 2023
Details
- NPI
- 1558865295
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Meghan Kerry Deyo
- Credential
- MSN, APRN, CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 19, 2018
- Certification date
- May 9, 2023
- Last updated
- May 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 5751 | MN | Yes |
| 363LP0200X | Nurse Practitioner, Pediatrics | 5751 | MN |
Practice location
200 1st St SwRochester, MN 55905-0001
Phone 507-284-2511
Mailing address
200 1st St SwRochester, MN 55905-0001
Other practice locations
1804 7th St W Ste 200
Saint Paul, MN 55116-2300
Saint Paul, MN 55116-2300
Phone 651-256-6714 · Fax 651-256-6710
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