Meehan, Johanna L

Meehan, Johanna L is an individual health care provider with primary practice located at 114 Woodland St Cancer Center, Hartford CT 06105-1208. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Oncology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Meehan, Johanna L can be contacted via phone (860) 714-5554.

Contact Information

Primary practice address
114 Woodland St Cancer Center Hartford CT 06105-1208
Phone: (860) 714-5554
Fax: (860) 714-8047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Oncology 364SX0200X 000843 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 843 Connecticut

Profile Details

NPI number 1215962428
LBN Legal business name Meehan, Johanna L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Mar 7th, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215962428 NPPES
Connecticut MEDICAID 4190435
Connecticut Other 000843
Connecticut Other 21885
Connecticut Other R39729

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