Provider Demographics
NPI:1174711857
Name:WILLIAMS, MEGAN PARPART (FNP)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:PARPART
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:MEGAN
Other - Middle Name:LEIGH
Other - Last Name:PARPART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN,RN,FNP
Mailing Address - Street 1:831 E. MOREHEAD DRIVE
Mailing Address - Street 2:SUITE 255
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202
Mailing Address - Country:US
Mailing Address - Phone:704-333-5575
Mailing Address - Fax:704-731-0934
Practice Address - Street 1:920 2ND AVE S
Practice Address - Street 2:SUITE 400
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-3318
Practice Address - Country:US
Practice Address - Phone:612-225-1512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35862363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP80034Medicare UPIN
NC280750213Medicare PIN
NC2807502BMedicare PIN