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Individual

MEAGHAN NORA MATTERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
35 MEDICAL CENTER PKWY STE 101, AUGUSTA, ME 04330-8160
(207) 430-4321
Mailing address
35 MEDICAL CENTER PKWY STE 101, AUGUSTA, ME 04330-8160
(207) 430-4321

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
025263
NY
363A00000X
Physician Assistant
055.0031692
VT
363A00000X
Physician Assistant
Primary
PA2688
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6714296
VT
Enumeration date
07/05/2018
Last updated
02/24/2025
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