Meghen Anne Clancy, PNP
Individual provider Active NPI Psychiatric/Mental Health Clinical Nurse Specialist · Springfield, VT
NPI 1306911615 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1306911615
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X
- License
- 1010014569 (VT)
- Practice address
- Health Care and Rehabilitation Center
107 Park St
Springfield, VT 05156 - Phone
- (802) 885-5781
- Fax
- (802) 885-4857
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1010014569 | VT | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 1010014569 | VT | Yes |
Addresses
Primary practice location
Health Care and Rehabilitation Center
107 Park St
Springfield, VT 05156
Mailing address
One Hospital Court
Suite 410
Bellows Falls, VT 05101
Phone (802) 463-3947
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004643 | Medicaid | VT |
Other providers in Springfield, VT
- Jamie Chavez
- Elise Cherian
- Brett Christoffers
- Dan Ciobanu
- John Steven Ciocchi
- Jennifer Cobb
- Ruth Fingerhut Cody
- Thornton Squire Cody
- Andrea C Collins
- Daniel Collins
All providers in Springfield, VT · Psychiatric/Mental Health Clinical Nurse Specialist in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.