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NPI Code Detail

MEDICARE: MRS. MEGAN JOHN RN

MEDICARE: MRS. MEGAN JOHN RN
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 Nurse466859-1NY

General Provider Information

NPI Number : 1598206096
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN JOHN RN
Provider Business Mailing Address
First Line : 369 NEW SCOTLAND AVE
Second Line : NEW SCOTLAND ELEM SCHOOL
City : ALBANY
State : NY
Zip : 12208-2736
Country : US
Telephone Number : 518-475-6780
Fax Number : 518-475-6781
Provider Business Practice Location Address
First Line : 369 NEW SCOTLAND AVE
Second Line : NEW SCOTLAND ELEM SCHOOL
City : ALBANY
State : NY
Zip : 12208-2736
Country : US
Telephone Number : 518-475-6780
Fax Number : 518-475-6781
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2017
Last Update Date : 03/16/2017

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