Provider Demographics
NPI:1740612191
Name:NIEZNANSKI, MEGHAN F (RN)
Entity Type:Individual
Prefix:MS
First Name:MEGHAN
Middle Name:F
Last Name:NIEZNANSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 FIESTA RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3841
Mailing Address - Country:US
Mailing Address - Phone:585-278-8238
Mailing Address - Fax:
Practice Address - Street 1:221 FIESTA RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-3841
Practice Address - Country:US
Practice Address - Phone:585-278-8238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY672813-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse