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NPI Code Detail

MEDICARE: MEAGAN BRENNER RN BSN

MEDICARE: MEAGAN BRENNER RN BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse777034NY

General Provider Information

NPI Number : 1326624701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEAGAN BRENNER RN BSN
Provider Business Mailing Address
First Line : 375 E BAY DR
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-2350
Country : US
Telephone Number : 516-897-1000
Fax Number :
Provider Business Practice Location Address
First Line : 375 E BAY DR
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-2350
Country : US
Telephone Number : 516-897-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2021
Last Update Date : 03/24/2021

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