Healthcare Provider Details

I. General information

NPI: 1962173047
Provider Name (Legal Business Name): MEGHAN ULON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2021
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 72ND ST APT A6
BROOKLYN NY
11209-1946
US

IV. Provider business mailing address

145 72ND ST APT A6
BROOKLYN NY
11209-1946
US

V. Phone/Fax

Practice location:
  • Phone: 917-526-0020
  • Fax:
Mailing address:
  • Phone: 917-526-0020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number648696-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: