Green, Meghan Suzanne

Green, Meghan Suzanne is an individual health care provider with primary practice located at 111 Hundertmark Rd #420, Chaska MN 55318-1459. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Green, Meghan Suzanne can be contacted via phone (952) 448-3847.

Contact Information

Primary practice address
111 Hundertmark Rd #420 Chaska MN 55318-1459
Phone: (952) 448-3847
Fax: (952) 448-5083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F381703 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R226548-7 Minnesota

Profile Details

NPI number 1043374259
LBN Legal business name Green, Meghan Suzanne
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Oct 24th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043374259 NPPES
New York MEDICAID 02576878
New York Other P019381703
New York Other 149194DL

Popular Providers