Individual provider · Type 1 NPI

Megan Anne Vidra

Student in an Organized Health Care Education/Training Program · Clearlake, CA

NPI number 1437044971 Active

Practice location

7000B S Center Dr
Clearlake, CA 95422-8458

Call (707) 994-7090 Map

Fax (707) 994-7092

Mailing address

PO Box 1024
Lucerne, CA 95458-1024

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1437044971

Megan Anne Vidra's National Provider Identifier is 1437044971, issued on Jun 12, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Clearlake, CA. The record was last updated on Jun 12, 2025.