1205857299 NPI number — MRS. MEGHAN MURPHY VAN CAMP RDN, LD, CDE

Table of content: MRS. MEGHAN MURPHY VAN CAMP RDN, LD, CDE (NPI 1205857299)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205857299 NPI number — MRS. MEGHAN MURPHY VAN CAMP RDN, LD, CDE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VAN CAMP
Provider First Name:
MEGHAN
Provider Middle Name:
MURPHY
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RDN, LD, CDE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MURPHY
Provider Other First Name:
MEGHAN
Provider Other Middle Name:
FRANCES
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
RD, LD/N
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1205857299
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/22/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5601 NW 72ND ST STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WARR ACRES
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73132-5920
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-603-1941
Provider Business Mailing Address Fax Number:
405-603-1942

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5601 NW 72ND ST STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARR ACRES
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73132
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-603-1941
Provider Business Practice Location Address Fax Number:
405-603-1942
Provider Enumeration Date:
07/22/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , with the licence number:  1977 , registered in the state of OK ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 133V00000X , with the licence number: ND4278 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)