Provider Demographics
NPI:1912209131
Name:MEKOSKY, NANCY LOUISE (RN)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:LOUISE
Last Name:MEKOSKY
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 1:13 SOMERSET AVE
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1021
Mailing Address - Country:US
Mailing Address - Phone:978-922-2223
Mailing Address - Fax:
Practice Address - Street 1:13 SOMERSET AVE
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1021
Practice Address - Country:US
Practice Address - Phone:978-922-2223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA125225163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse