Individual
MRS. MEGHAN ANNETTE PAULY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
817 MELISSA ST, MENASHA, WI 54952-2535
(920) 486-1813
Mailing address
817 MELISSA ST, MENASHA, WI 54952-2535
(920) 486-1813
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
165147-30
WI
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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