Individual
MEGAN RENEE COGHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
555 S STATE ST, SYRACUSE, NY 13202-2280
(315) 435-1707
(315) 435-1718
Mailing address
112 KIES DR, LIVERPOOL, NY 13090-3141
(315) 406-3884
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
F337378-1
NY
Other
Enumeration date
07/30/2012
Last updated
08/29/2013
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