MEDICARE: ERIN K MEAGHER FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	RN259339	MA
2	363L00000X	Nurse Practitioner	RN259339	MA

General Provider Information

NPI Number	:	1275188534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN K MEAGHER FNP

Provider Business Mailing Address
First Line	:	246 SOUTHBRIDGE RD
Second Line	:
City	:	CHARLTON
State	:	MA
Zip	:	01507-5237
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	246 SOUTHBRIDGE RD
Second Line	:
City	:	CHARLTON
State	:	MA
Zip	:	01507-5237
Country	:	US
Telephone Number	:	508-980-7074
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2019
Last Update Date	:	04/07/2023

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