Healthcare Provider Details

I. General information

NPI: 1386308906
Provider Name (Legal Business Name): MEGHAN ELIZABETH FREED PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2021
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 WALNUT ST STE 205
LEMOYNE PA
17043-1168
US

IV. Provider business mailing address

3 WALNUT ST STE 205
LEMOYNE PA
17043-1168
US

V. Phone/Fax

Practice location:
  • Phone: 717-988-0090
  • Fax: 717-221-5320
Mailing address:
  • Phone: 717-988-0090
  • Fax: 717-221-5320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA062844
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: