MEDICARE: MRS. MEAGHAN PATRICIA THAINE FNP-C

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	363LF0000X	Family Nurse Practitioner	341812	NY

General Provider Information

NPI Number	:	1467967851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEAGHAN PATRICIA THAINE FNP-C

Provider Business Mailing Address
First Line	:	5873 TWEED TRL
Second Line	:
City	:	FARMINGTON
State	:	NY
Zip	:	14425-8807
Country	:	US
Telephone Number	:	585-259-8212
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 PARRISH ST
Second Line	:
City	:	CANANDAIGUA
State	:	NY
Zip	:	14424-1794
Country	:	US
Telephone Number	:	585-393-2800
Fax Number	:

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

Provider Enumeration Date	:	12/06/2017
Last Update Date	:	05/15/2026

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