Provider Demographics
NPI:1902269731
Name:NOSOL, MEGAN (MS, MSED, MHS)
Entity type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:
Last Name:NOSOL
Suffix:
Gender:F
Credentials:MS, MSED, MHS
Other - Prefix:MS
Other - First Name:MEGAN
Other - Middle Name:CHRISTINE
Other - Last Name:MCGOWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:196 MILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-3422
Mailing Address - Country:US
Mailing Address - Phone:919-641-5565
Mailing Address - Fax:
Practice Address - Street 1:370 BASSETT RD
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-4201
Practice Address - Country:US
Practice Address - Phone:919-641-5565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant