Provider Demographics
NPI:1285490888
Name:PRETTYMAN, MEIGHAN KATHLEEN
Entity type:Individual
Prefix:MRS
First Name:MEIGHAN
Middle Name:KATHLEEN
Last Name:PRETTYMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 GREENBRIER DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:OH
Mailing Address - Zip Code:43050-9103
Mailing Address - Country:US
Mailing Address - Phone:740-485-1107
Mailing Address - Fax:
Practice Address - Street 1:1400 GREENBRIER DR
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:OH
Practice Address - Zip Code:43050-9103
Practice Address - Country:US
Practice Address - Phone:740-485-1107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care