MEDICARE: MRS. MEGAN A LOVELL WHNP-BC

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	363LW0102X	Women's Health Nurse Practitioner	RN2261274	MA
2	363LW0102X	Women's Health Nurse Practitioner	APRN02730	RI

General Provider Information

NPI Number	:	1922642800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN A LOVELL WHNP-BC

Provider Business Mailing Address
First Line	:	9 INDUSTRIAL RD STE 5
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-3736
Country	:	US
Telephone Number	:	508-473-1480
Fax Number	:	508-473-2709

Provider Business Practice Location Address
First Line	:	200 COMMERCE DR # 2
Second Line	:
City	:	NORTHBRIDGE
State	:	MA
Zip	:	01534-1425
Country	:	US
Telephone Number	:	508-234-6260
Fax Number	:

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

Provider Enumeration Date	:	11/04/2019
Last Update Date	:	03/24/2026

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