Individual
MEAGHAN JEAN HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
240 MEETING HOUSE LN, SOUTHAMPTON, NY 11968
(631) 726-8960
Mailing address
516 2ND AVE, BAYPORT, NY 11705-1314
(954) 682-5362
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
9291826
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
F430889-1
NY
363LG0600X
Gerontology Nurse Practitioner
9291826
FL
Other
Enumeration date
11/18/2014
Last updated
05/29/2018
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