Provider Demographics
NPI:1174039465
Name:CRONIN, MEAGHAN (AGNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MEAGHAN
Middle Name:
Last Name:CRONIN
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:MEAGHAN
Other - Middle Name:
Other - Last Name:CRONIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10 MEADOWVIEW TER
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-1124
Mailing Address - Country:US
Mailing Address - Phone:516-448-5271
Mailing Address - Fax:
Practice Address - Street 1:1900 UNION VALLEY RD
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:NJ
Practice Address - Zip Code:07421-3024
Practice Address - Country:US
Practice Address - Phone:973-706-8535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00784800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health