Doctor Name: | MEAGHAN CECELIA NELSEN |
NPI Number: | 1144573148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 2100 Keystone Ave Suite 707 Drexel Hill, PA - 190261129 |
Business Phone Number: | 6106267070 |
Business Fax Number: | 6106269887 |
Mailing Address: | 2100 Keystone Ave, Suite 707 DREXEL HILL |
State: | PA |
Postal Code: | 190261129 |
Phone Number: | 6106267070 |
Fax Number: | 6106269887 |
NPI Enumeration Date: | 10/16/2012 |
NPI Last Update Date: | 12/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |