Provider Demographics
NPI:1316248032
Name:BUTCHER, MEGHAN CHRISTINE (LPN)
Entity type:Individual
Prefix:MISS
First Name:MEGHAN
Middle Name:CHRISTINE
Last Name:BUTCHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:287 BRENTON DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-3418
Mailing Address - Country:US
Mailing Address - Phone:740-258-7922
Mailing Address - Fax:
Practice Address - Street 1:287 BRENTON DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-3418
Practice Address - Country:US
Practice Address - Phone:740-258-7922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN. 141696164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse