MEDICARE: MISS MEGHAN ELIZABETH TRAINOR LPN

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
1	164W00000X	Licensed Practical Nurse	26NP05725900	NJ

General Provider Information

NPI Number	:	1598706707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MEGHAN ELIZABETH TRAINOR LPN

Provider Business Mailing Address
First Line	:	32 HILLTOP RD
Second Line	:
City	:	KINNELON
State	:	NJ
Zip	:	07405-2183
Country	:	US
Telephone Number	:	973-492-0310
Fax Number	:

Provider Business Practice Location Address
First Line	:	50 MORRIS AVE
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-1735
Country	:	US
Telephone Number	:	973-625-7038
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	07/08/2007

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