Healthcare Provider Details

I. General information

NPI: 1912714247
Provider Name (Legal Business Name): MEGAN M FERRIERA APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2024
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 N MAIN ST
PROVIDENCE RI
02904-5762
US

IV. Provider business mailing address

127 GLEANER CHAPEL RD
NORTH SCITUATE RI
02857-1204
US

V. Phone/Fax

Practice location:
  • Phone: 401-528-0123
  • Fax:
Mailing address:
  • Phone: 401-302-0339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2390263
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN78544
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: