Provider Demographics
NPI:1578046256
Name:FEELEY, MEGHAN GRACE (APRN, NP-C)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:GRACE
Last Name:FEELEY
Suffix:
Gender:F
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 TADMUCK RD STE 3
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3136
Mailing Address - Country:US
Mailing Address - Phone:978-619-5447
Mailing Address - Fax:
Practice Address - Street 1:68 TADMUCK RD STE 3
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3136
Practice Address - Country:US
Practice Address - Phone:978-619-5447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2276974363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily