Individual
MEGHAN MARIE CEQUERELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3264 GREENWALD WAY N, KISSIMMEE, FL 34741-0728
(407) 539-0312
Mailing address
3264 GREENWALD WAY N, KISSIMMEE, FL 34741-0728
(407) 539-0312
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11022296
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11022296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116737700
—
FL
Enumeration date
12/19/2022
Last updated
09/20/2024
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