Individual
MRS. MEGAN LIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 BROADWAY, BUCKSPORT, ME 04416-4612
(615) 212-0920
Mailing address
110 BROADWAY, BUCKSPORT, ME 04416-4612
(207) 469-7371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
000029778
TN
363LF0000X
Family Nurse Practitioner
3017602
KY
363LF0000X
Family Nurse Practitioner
APN0000029778
TN
363LF0000X
Family Nurse Practitioner
Primary
CNP231490
ME
Other
Enumeration date
11/30/2021
Last updated
10/29/2024
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