Provider Demographics
NPI:1942029681
Name:NUNLEY, MEGAN ELISE (FNP-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELISE
Last Name:NUNLEY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33331 DECADA ST
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-1323
Mailing Address - Country:US
Mailing Address - Phone:618-303-8465
Mailing Address - Fax:
Practice Address - Street 1:27555 YNEZ RD STE 105
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-4677
Practice Address - Country:US
Practice Address - Phone:951-694-4688
Practice Address - Fax:888-827-3492
Is Sole Proprietor?:No
Enumeration Date:2024-10-09
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032357363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily