=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306703665
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STAR HOLISTIC HEALTH PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/08/2026
-----------------------------------------------------
Last Update Date | 01/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 237 LEXINGTON ST STE 201
-----------------------------------------------------
City | WOBURN
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01801-5985
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-565-8926
-----------------------------------------------------
Fax | 781-394-8195
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 237 LEXINGTON ST STE 201
-----------------------------------------------------
City | WOBURN
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01801-5985
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-565-8926
-----------------------------------------------------
Fax | 781-394-8195
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROVIDER/OWNER
-----------------------------------------------------
Name | MR. MEGAN-ROSE COMEIRO
-----------------------------------------------------
Credential | ANP
-----------------------------------------------------
Telephone | 781-565-8926
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LP0808X
-----------------------------------------------------
Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------