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Individual

MEGAN SHUCAVAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1241 BLAKESLEE BOULEVARD DR E STE 3, LEHIGHTON, PA 18235-2401
(570) 645-1020
(570) 645-1021
Mailing address
1241 BLAKESLEE BOULEVARD DR E STE 3, LEHIGHTON, PA 18235-2401
(570) 645-1020
(570) 645-1021

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP008661
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1995717
HIGHMARK BLUE SHIELD
PA
01
50085666
CAPITAL BLUE CROSS
Enumeration date
02/05/2007
Last updated
10/27/2020
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