Healthcare Provider Details

I. General information

NPI: 1881225480
Provider Name (Legal Business Name): MEGAN CHAMBERS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2020
Last Update Date: 02/01/2020
Certification Date: 02/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 SEYMOUR ST
HARTFORD CT
06106-3315
US

IV. Provider business mailing address

16 COIT AVE
WEST WARWICK RI
02893-3014
US

V. Phone/Fax

Practice location:
  • Phone: 860-972-3495
  • Fax:
Mailing address:
  • Phone: 401-862-6075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License NumberRN54549
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: