Basic Information
Provider Information
NPI: 1346525714
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SLOAT
FirstName: MEGAN
MiddleName:  
NamePrefix: MS.
NameSuffix:  
Credential: CNM, MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 9943 HICKMAN RD
Address2: SUITE 105
City: URBANDALE
State: IA
PostalCode: 503225304
CountryCode: US
TelephoneNumber: 5152481447
FaxNumber: 5152481440
Practice Location
Address1: 3510 LINCOLN WAY
Address2:  
City: AMES
State: IA
PostalCode: 500147533
CountryCode: US
TelephoneNumber: 5152320628
FaxNumber: 5152320727
Other Information
ProviderEnumerationDate: 10/18/2011
LastUpdateDate: 12/16/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XRN2275756MAN Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
367A00000XB136203IAY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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