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NPI Code Detail

MEDICARE: MEGAN GREY

MEDICARE: MEGAN GREY
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
1364SA2200XAdult Health Clinical Nurse SpecialistR182090MD
2363L00000XNurse PractitionerR182090MD
3363LG0600XGerontology Nurse PractitionerR182090MD

General Provider Information

NPI Number : 1730506304
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN GREY
Provider Business Mailing Address
First Line : 542 FAIRMOUNT RD
Second Line :
City : LINTHICUM
State : MD
Zip : 21090-2842
Country : US
Telephone Number : 410-995-7439
Fax Number :
Provider Business Practice Location Address
First Line : 2131 DAVIDSONVILLE RD
Second Line :
City : CROFTON
State : MD
Zip : 21114-1632
Country : US
Telephone Number : 410-507-7617
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2014
Last Update Date : 07/25/2023

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