Provider Demographics
NPI:1568876720
Name:MOHRAN, MEGHAN (CRNP)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:MOHRAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 BECKWITH DR
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-9419
Mailing Address - Country:US
Mailing Address - Phone:814-207-6458
Mailing Address - Fax:
Practice Address - Street 1:WELLNOW URGENT CARE
Practice Address - Street 2:109 GENESEE ST
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421
Practice Address - Country:US
Practice Address - Phone:315-231-5530
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-16
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP013908363LF0000X
NY33338678363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily