Healthcare Provider Details

I. General information

NPI: 1063870970
Provider Name (Legal Business Name): MEGAN KEELAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN C CANAVAN APN

II. Dates (important events)

Enumeration Date: 02/05/2016
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FRIST HEALTH CENTER
PRINCETON NJ
08544-0001
US

IV. Provider business mailing address

FRIST HEALTH CENTER
PRINCETON NJ
08544-0001
US

V. Phone/Fax

Practice location:
  • Phone: 609-258-3141
  • Fax: 609-258-1355
Mailing address:
  • Phone: 609-258-3141
  • Fax: 609-258-1355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number26NJ00616800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: