Provider Demographics
NPI:1528143427
Name:MEEGAN, JANET ANN (ARNP)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ANN
Last Name:MEEGAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 WELLS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BERWICK
Mailing Address - State:ME
Mailing Address - Zip Code:03906-6749
Mailing Address - Country:US
Mailing Address - Phone:207-676-1280
Mailing Address - Fax:207-676-1284
Practice Address - Street 1:23 WELLS ST
Practice Address - Street 2:
Practice Address - City:NORTH BERWICK
Practice Address - State:ME
Practice Address - Zip Code:03906-6749
Practice Address - Country:US
Practice Address - Phone:207-676-1280
Practice Address - Fax:207-676-1284
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH023143-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
AA76273OtherHARVARD PILGRIM
40Y011377NH01OtherANTHEM
ME432428199Medicaid
NH30344788Medicaid
NHNP5652OtherMEDICARE
514907OtherCIGNA