Provider Demographics
NPI:1558859686
Name:LITTLETON, MEAGHAN KRISTINE (MS, PA-C)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:KRISTINE
Last Name:LITTLETON
Suffix:
Gender:F
Credentials:MS, PA-C
Other - Prefix:
Other - First Name:MEAGHAN
Other - Middle Name:KRISTINE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, PA-C
Mailing Address - Street 1:5315 ELLIOTT DR STE 102
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-8634
Mailing Address - Country:US
Mailing Address - Phone:734-712-4500
Mailing Address - Fax:
Practice Address - Street 1:5315 ELLIOTT DR STE 102
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-8634
Practice Address - Country:US
Practice Address - Phone:734-434-4110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant