Healthcare Provider Details

I. General information

NPI: 1144819186
Provider Name (Legal Business Name): MEGAN ZINO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2021
Last Update Date: 03/31/2023
Certification Date: 03/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 2ND STREET PIKE STE A1
RICHBORO PA
18954-1083
US

IV. Provider business mailing address

853 2ND STREET PIKE STE A1
RICHBORO PA
18954-1083
US

V. Phone/Fax

Practice location:
  • Phone: 215-485-5713
  • Fax: 215-485-5419
Mailing address:
  • Phone: 215-485-5713
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP023025
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: