Virginia Meehan
Individual provider Active NPI Registered Nurse · Crofton, MD
NPI 1659960698 · NPPES record last updated Jan 14, 2021
Key facts
- NPI
- 1659960698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- R199341 (MD)
- Practice address
- 2003 Davidsonville Rd
Crofton, MD 21114-1317 - Phone
- (410) 721-3762
- NPI assigned
- Jan 14, 2021
- 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 |
|---|---|---|---|
| R199341 | MD | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R199341 | MD | Yes |
Addresses
Primary practice location
2003 Davidsonville Rd
Crofton, MD 21114-1317
Mailing address
2418 Shadywood Cir
Crofton, MD 21114-1146
Phone (410) 353-5110
Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2021. 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.