Provider Demographics
NPI:1477782324
Name:REYNOLDS, MEAGHAN MARIE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MEAGHAN
Middle Name:MARIE
Last Name:REYNOLDS
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:3 WASHINGTON STREET
Mailing Address - Street 2:STE 200
Mailing Address - City:NORTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02356-1010
Mailing Address - Country:US
Mailing Address - Phone:508-205-9630
Mailing Address - Fax:508-796-2610
Practice Address - Street 1:3 WASHINGTON STREET
Practice Address - Street 2:STE 200
Practice Address - City:NORTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02356-1010
Practice Address - Country:US
Practice Address - Phone:508-205-9630
Practice Address - Fax:508-796-2610
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2016-03-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA3797363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant