Healthcare Provider Details

I. General information

NPI: 1457922072
Provider Name (Legal Business Name): MEAGHAN MAYDICK DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 QUINN DR STE 160
PITTSBURGH PA
15275-1055
US

IV. Provider business mailing address

200 QUINN DR STE 160
PITTSBURGH PA
15275-1055
US

V. Phone/Fax

Practice location:
  • Phone: 412-722-1003
  • Fax: 412-722-1024
Mailing address:
  • Phone: 412-722-1003
  • Fax: 412-722-1024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP023825
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: