Provider Demographics
NPI:1790253193
Name:CAWLEY, MEGHAN KATHERINE (PA-C)
Entity Type:Individual
Prefix:MISS
First Name:MEGHAN
Middle Name:KATHERINE
Last Name:CAWLEY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 PARKVIEW RD
Mailing Address - Street 2:
Mailing Address - City:MOSCOW
Mailing Address - State:PA
Mailing Address - Zip Code:18444-8634
Mailing Address - Country:US
Mailing Address - Phone:570-351-1936
Mailing Address - Fax:
Practice Address - Street 1:327 N WASHINGTON AVE STE 200
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1535
Practice Address - Country:US
Practice Address - Phone:570-961-5522
Practice Address - Fax:570-207-7240
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA060322363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1982791117OtherDERMATOLOGY