Healthcare Provider Details

I. General information

NPI: 1457565822
Provider Name (Legal Business Name): MEGHAN SWEENEY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 PARKWAY CTR SUITE 375
PITTSBURGH PA
15220-3704
US

IV. Provider business mailing address

100 SNOW CHIEF DRIVE
HAVRE DE GRACE MD
21078
US

V. Phone/Fax

Practice location:
  • Phone: 412-937-5833
  • Fax: 770-666-9124
Mailing address:
  • Phone: 410-908-1546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR150270
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: