Individual
MEGHAN MCNALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MAO54233
PA
363AS0400X
Surgical Physician Assistant
Primary
PA1337
ME
Other
Enumeration date
11/25/2009
Last updated
05/09/2012
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