Provider Demographics
NPI:1497917314
Name:CZARNIECKI, MEGAN (MS, MA)
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:CZARNIECKI
Suffix:
Gender:F
Credentials:MS, MA
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:LATCHAW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, MA
Mailing Address - Street 1:201 E NICOLLET BLVD
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-5714
Mailing Address - Country:US
Mailing Address - Phone:952-892-2825
Mailing Address - Fax:952-892-2275
Practice Address - Street 1:201 E NICOLLET BLVD
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-5714
Practice Address - Country:US
Practice Address - Phone:952-892-2825
Practice Address - Fax:952-892-2275
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS