Provider Demographics
NPI:1982412508
Name:BARTELL, MEGAN (RN,BSN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:BARTELL
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:899 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:NORTH DIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02764-1610
Mailing Address - Country:US
Mailing Address - Phone:774-223-3289
Mailing Address - Fax:
Practice Address - Street 1:899 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:NORTH DIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02764-1610
Practice Address - Country:US
Practice Address - Phone:774-223-3289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-28
Last Update Date:2024-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2384043251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care