Provider Demographics
NPI:1518372614
Name:BEHRER, MEGAN MARIE-LEARY (NP)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:MARIE-LEARY
Last Name:BEHRER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 RESEARCH DR
Mailing Address - Street 2:
Mailing Address - City:WESTBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01581-3680
Mailing Address - Country:US
Mailing Address - Phone:774-512-7899
Mailing Address - Fax:
Practice Address - Street 1:350 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-3082
Practice Address - Country:US
Practice Address - Phone:747-512-7899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-26
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN284797363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily