Provider Demographics
NPI:1720398837
Name:HAWORTH, MENEAH ROSE (NP)
Entity Type:Individual
Prefix:MS
First Name:MENEAH
Middle Name:ROSE
Last Name:HAWORTH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Mailing Address - Street 1:491 US ROUTE 1 STE 22
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04032-7022
Mailing Address - Country:US
Mailing Address - Phone:207-807-8233
Mailing Address - Fax:888-480-3096
Practice Address - Street 1:491 US ROUTE 1 STE 22
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:ME
Practice Address - Zip Code:04032-7022
Practice Address - Country:US
Practice Address - Phone:207-220-2267
Practice Address - Fax:866-480-3096
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MEAP101066363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily