Individual
MEGGAN BUTLER-O'HARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1200 DRIVING PARK AVE, NEWARK, NY 14513
(315) 359-2660
(315) 359-2635
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-0553
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
423679
NY
363LN0000X
Neonatal Nurse Practitioner
Primary
F380513
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02058639
—
NY
Enumeration date
09/20/2006
Last updated
07/05/2023
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