Provider Demographics
NPI:1477855633
Name:MCDONALD, MEGHAN ANN (APN)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:ANN
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1120 DELSEA DR N
Mailing Address - Street 2:
Mailing Address - City:GLASSBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08028-1444
Mailing Address - Country:US
Mailing Address - Phone:856-205-7071
Mailing Address - Fax:856-205-0145
Practice Address - Street 1:698 MULLICA HILL RD
Practice Address - Street 2:STE 300
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062
Practice Address - Country:US
Practice Address - Phone:856-508-3575
Practice Address - Fax:856-221-4101
Is Sole Proprietor?:No
Enumeration Date:2010-11-21
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP011028363LA2200X
DELP-0000188363L00000X
NJ26NJ00972000363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner