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NPI Code Detail

MEDICARE: MEGAN SHUCAVAGE CRNP

MEDICARE:   MEGAN  SHUCAVAGE  CRNP
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
1363L00000XNurse PractitionerSP008661PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11995717OTHERPAHIGHMARK BLUE SHIELD
250085666OTHERCAPITAL BLUE CROSS

General Provider Information

NPI Number : 1881733319
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN SHUCAVAGE CRNP
Provider Business Mailing Address
First Line : 1241 BLAKESLEE BOULEVARD DR E STE 3
Second Line :
City : LEHIGHTON
State : PA
Zip : 18235-2401
Country : US
Telephone Number : 570-645-1020
Fax Number : 570-645-1021
Provider Business Practice Location Address
First Line : 1241 BLAKESLEE BOULEVARD DR E STE 3
Second Line :
City : LEHIGHTON
State : PA
Zip : 18235-2401
Country : US
Telephone Number : 570-645-1020
Fax Number : 570-645-1021
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 10/27/2020

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Directions to “ MEGAN SHUCAVAGE CRNP” Practice Location

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