Healthcare Provider Details

I. General information

NPI: 1528143427
Provider Name (Legal Business Name): JANET ANN MEEGAN ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 03/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 WELLS ST
NORTH BERWICK ME
03906-6749
US

IV. Provider business mailing address

23 WELLS ST
NORTH BERWICK ME
03906-6749
US

V. Phone/Fax

Practice location:
  • Phone: 207-676-1280
  • Fax: 207-676-1284
Mailing address:
  • Phone: 207-676-1280
  • Fax: 207-676-1284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number023143-23-03
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: