Healthcare Provider Details

I. General information

NPI: 1548851793
Provider Name (Legal Business Name): MEGHANN ROSE FLYNN AU.D. CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

7201 CHARLOTTE PIKE UNIT 222
NASHVILLE TN
37209
US

IV. Provider business mailing address

7201 CHARLOTTE PIKE UNIT 222
NASHVILLE TN
37209
US

V. Phone/Fax

Practice location:
  • Phone: 570-650-4457
  • Fax:
Mailing address:
  • Phone: 570-650-4457
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA4549
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1848
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: