Individual provider · Type 1 NPI

Meagan Nicole McNicholas, MD

Student in an Organized Health Care Education/Training Program · Madison, WI

NPI number 1629917802 Active

Practice location

749 University Row Ste 200
Madison, WI 53705-1465

Call (608) 263-6400 Map

Mailing address

1007 W University Ave Unit 312
Urbana, IL 61801-2569

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 1629917802

Meagan Nicole McNicholas, MD's National Provider Identifier is 1629917802, issued on Mar 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Madison, WI. The record was last updated on Mar 25, 2026.