MEDICARE: MS. MEGAN WRIGHT NP

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	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	5272444	NY

General Provider Information

NPI Number	:	1821146655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEGAN WRIGHT NP

Provider Business Mailing Address
First Line	:	PO BOX 2340
Second Line	:
City	:	SOUTHAMPTON
State	:	NY
Zip	:	11969-2340
Country	:	US
Telephone Number	:	631-283-2430
Fax Number	:	631-283-7496

Provider Business Practice Location Address
First Line	:	200 PANTIGO PL
Second Line	:	SUITE N
City	:	EAST HAMPTON
State	:	NY
Zip	:	11937-5920
Country	:	US
Telephone Number	:	631-329-6500
Fax Number	:	631-324-8992

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	01/21/2013

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