Individual
MEGHAN O'MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
6227 FRANKFORT HWY, BENZONIA, MI 49616-8632
(231) 882-9661
Mailing address
6227 FRANKFORT HWY, BENZONIA, MI 49616-8632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704308686
MI
363L00000X
Nurse Practitioner
CP000819
SD
Other
Enumeration date
09/26/2013
Last updated
10/27/2015
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