Healthcare Provider Details

I. General information

NPI: 1508670803
Provider Name (Legal Business Name): MEAGHAN MCGUIRE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PERRYRIDGE RD
GREENWICH CT
06830-4608
US

IV. Provider business mailing address

38 POE CT
FAIRFIELD CT
06825-4753
US

V. Phone/Fax

Practice location:
  • Phone: 203-863-3000
  • Fax:
Mailing address:
  • Phone: 630-600-7670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number041.552246
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: