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NPI Code Detail

MEDICARE: MRS. MEGAN NOSOL M.S., M.S.ED., MHS

MEDICARE: MRS. MEGAN NOSOL M.S., M.S.ED., MHS
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1902269731
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEGAN NOSOL M.S., M.S.ED., MHS
Provider Business Mailing Address
First Line : 196 MILL RD
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-3422
Country : US
Telephone Number : 919-641-5565
Fax Number :
Provider Business Practice Location Address
First Line : 370 BASSETT RD
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-4201
Country : US
Telephone Number : 919-641-5565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2016
Last Update Date : 09/08/2024

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