Healthcare Provider Details

I. General information

NPI: 1376243865
Provider Name (Legal Business Name): MRS. MEAGHAN MESSINA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 HIGHLAND AVE
SALEM MA
01970-7006
US

IV. Provider business mailing address

331 HIGHLAND AVE
SALEM MA
01970-7006
US

V. Phone/Fax

Practice location:
  • Phone: 978-774-3499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2343453
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN2343453
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: