Individual
MRS. MEGHAN MARIE MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 341-7246
(859) 341-7867
Mailing address
20 MEDICAL VILLAGE DR, 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1110502
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201131160
—
IN
05
—
7100232420
—
KY
Enumeration date
12/17/2012
Last updated
07/24/2013
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