Doctor Name: | MRS. MEGHAN C BARON |
NPI Number: | 1528318565 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA1453 |
Business Practice Address: | 1343 Newlands Dr W Suite 300 Fernley, NV - 894088926 |
Business Phone Number: | 7759825000 |
Business Fax Number: | 7759826504 |
Mailing Address: | 780 Kuenzli St, Suite 202 RENO |
State: | NV |
Postal Code: | 895020845 |
Phone Number: | 7759824590 |
Fax Number: | 7759825496 |
NPI Enumeration Date: | 09/18/2012 |
NPI Last Update Date: | 03/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA1453 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |