Provider Demographics
NPI:1427372630
Name:SERIO, MEGHAN ADRIANA (RN MSN WHNP)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:ADRIANA
Last Name:SERIO
Suffix:
Gender:F
Credentials:RN MSN WHNP
Other - Prefix:MS
Other - First Name:MEGHAN
Other - Middle Name:ADRIANA
Other - Last Name:MATLOCK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN BSN
Mailing Address - Street 1:1275 DELAWARE AVE
Mailing Address - Street 2:SUITE # 555
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-2402
Mailing Address - Country:US
Mailing Address - Phone:716-882-2424
Mailing Address - Fax:716-882-9450
Practice Address - Street 1:1275 DELAWARE AVE
Practice Address - Street 2:SUITE # 555
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2402
Practice Address - Country:US
Practice Address - Phone:716-882-2424
Practice Address - Fax:716-882-9450
Is Sole Proprietor?:No
Enumeration Date:2010-03-16
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420976-1363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health