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Individual
MEGHAN ANN WALSH
Active
Individual
MEGHAN ANN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP013111
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103068943-0001
PROMISE/MEDICAL ASSISTANCE
PA
01
—
P01248827
RR MEDICARE
PA
Enumeration date
08/14/2013
Last updated
01/16/2017
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