Doctor Name: | MS. MEGAN SUE DAVIS |
NPI Number: | 1194142059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA056722 |
Business Practice Address: | 221 Russellton Dorseyville Rd Cheswick, PA - 150242004 |
Business Phone Number: | 4127675387 |
Business Fax Number: | |
Mailing Address: | 221 Russellton Dorseyville Rd, CHESWICK |
State: | PA |
Postal Code: | 150242004 |
Phone Number: | 4127675387 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2014 |
NPI Last Update Date: | 03/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SF0001X |
License Number: | MA056722 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Family Health |
Taxonomy Definition: |